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Massachusetts rates for HCPCS 43641

Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $3,162.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,089.30 / $10,964.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $741.31 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $3,311.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,862.09 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $2,344.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,454.71 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,041.74 / $3,090.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,089.30 / $10,964.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $3,388.44