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Massachusetts rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $1,411.87 / $3,103.52
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$19.28 / $19.28 / $121.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $175.52 / $588.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $359.00 / $2,707.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$141.06 / $141.06 / $141.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $361.72 / $1,323.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.83 / $53.84 / $106.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $91.01 / $490.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.08 / $290.93 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $240.00 / $614.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.30 / $506.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.04 / $335.25 / $532.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.29 / $228.74 / $596.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.21 / $460.62 / $888.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $59.64 / $1,920.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $528.00 / $2,733.00
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$141.06 / $141.06 / $141.06
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.14 / $493.19 / $1,565.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,694.00 / $2,796.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.25 / $369.94 / $870.78