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Massachusetts rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.32 / $2,671.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.25 / $1,278.04 / $1,896.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.21 / $4,287.00 / $17,314.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.64 / $2,396.84 / $9,854.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.03 / $2,109.21 / $4,418.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,009.30 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.24 / $1,813.59 / $2,664.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.28 / $3,098.10 / $3,828.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $6,104.00 / $17,314.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.86 / $2,521.56 / $9,854.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,287.00 / $7,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.37 / $1,894.94 / $4,137.82