go back

Massachusetts rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,447.58 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.44 / $2,568.44 / $3,821.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $41,732.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.07 / $4,793.32 / $18,006.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,906.35 / $4,766.12 / $6,795.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.10 / $4,184.68 / $8,703.43
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,472.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.68 / $3,600.90 / $5,289.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,151.05 / $6,165.09 / $7,615.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $45,948.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,753.71 / $5,021.14 / $18,006.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.16 / $3,761.87 / $8,605.86