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Massachusetts rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.60 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.44 / $261.47 / $427.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $537.36 / $2,707.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.50 / $533.55 / $1,968.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.93 / $129.90 / $257.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $168.73 / $717.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.08 / $290.93 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.21 / $320.63 / $918.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.57 / $506.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.94 / $493.56 / $787.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $337.71 / $880.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $528.00 / $2,733.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.56 / $729.91 / $2,311.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,078.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.88 / $543.66 / $1,311.95