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Massachusetts rates for HCPCS 43287

Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $3,363.00 / $4,806.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,800.00 / $52,146.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$5,347.23 / $10,404.54 / $10,404.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$855.56 / $1,664.73 / $1,664.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $4,408.72 / $7,218.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,800.00 / $52,146.24
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$5,347.23 / $10,404.54 / $10,404.54
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$855.56 / $1,664.73 / $1,664.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00