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Massachusetts rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,388.44 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,137.96 / $26,302.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $741.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,884.03 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,454.71 / $4,677.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,137.96 / $26,302.68
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $4,677.35