go back

Massachusetts rates for HCPCS 43510

Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $2,570.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,819.70 / $8,709.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,258.93 / $2,630.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,905.46 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,949.84
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,659.59 / $2,454.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,819.70 / $8,709.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,691.53 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $2,691.53