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Massachusetts rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $2,900.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.13 / $3,837.62 / $5,719.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $55,777.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,724.20 / $6,994.55 / $26,342.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.50 / $6,195.26 / $12,808.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $4,618.00 / $7,693.28
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,154.24 / $5,249.36 / $7,711.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,610.87 / $9,028.08 / $11,188.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $67,163.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.10 / $7,448.70 / $26,342.40
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
$2,578.80 / $5,398.31 / $12,717.36