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Massachusetts rates for HCPCS 43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption

Facilitymedian $3,388 · 10th–90th $1,778–$8,5110%10%10th90th$3,388$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,388.44 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,265.80 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $676.08 / $741.31
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,290.87 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $5,888.44 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,265.80 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $6,025.60 / $10,964.78