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Massachusetts rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.20 / $2,900.00 / $14,937.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $4,671.00 / $22,630.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$268.14 / $521.04 / $521.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $20,000.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,697.48 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.31 / $5,163.68 / $11,465.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $7,331.00 / $22,630.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$268.14 / $521.04 / $521.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $4,671.00 / $15,421.00