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Massachusetts rates for HCPCS 43772

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

Facilitymedian $3,090 · 10th–90th $912–$6,4570%5%10%10th90th$3,090$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
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,090.30 / $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
$758.58 / $1,230.27 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,570.88 / $27,542.29
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $5,623.41 / $5,623.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,090.30 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $4,466.84 / $20,417.38