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Massachusetts rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Facilitymedian $3,311 · 10th–90th $1,318–$5,6230%10%10th90th$3,311Professionalmedian $1,514 · 10th–90th $1,202–$3,3880%10%10th90th$1,514$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 / $3,311.31 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,380.38 / $3,235.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,466.84 / $7,943.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $676.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,737.80 / $3,548.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,659.59 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,584.89 / $2,344.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,570.88 / $27,542.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,137.96 / $3,235.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,466.84 / $7,943.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,981.07 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,995.26 / $3,715.35