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Massachusetts rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.52 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.70 / $1,527.03 / $2,243.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $13,734.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.72 / $2,875.82 / $10,754.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.04 / $2,499.29 / $5,250.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,348.01 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.28 / $2,154.82 / $3,165.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.16 / $3,689.19 / $4,560.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $13,734.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.09 / $3,006.68 / $10,754.00
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
$1,604.54 / $2,263.02 / $6,190.10