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Massachusetts rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.24 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.79 / $1,201.32 / $1,778.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,733.00 / $10,883.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.89 / $2,283.00 / $8,760.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.09 / $1,970.49 / $4,158.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,892.57 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.65 / $1,709.23 / $2,510.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.17 / $2,921.63 / $3,609.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $10,883.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.10 / $2,373.63 / $8,760.76
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
$1,225.97 / $1,712.43 / $4,080.93