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Massachusetts rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.72 / $2,671.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.39 / $1,278.04 / $1,901.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.21 / $5,097.00 / $16,791.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.96 / $2,424.78 / $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
$714.00 / $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 / $3,123.42 / $3,940.83
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,267.18 / $4,267.18 / $4,267.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,280.00 / $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
$1,591.00 / $4,447.00 / $12,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.44 / $1,880.29 / $4,339.14