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Massachusetts rates for HCPCS 43846

Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,388.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $4,365.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,089.30 / $22,387.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,344.23 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $741.31 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,137.96 / $4,466.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,454.71 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $3,162.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,454.71 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,818.38 / $4,265.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,089.30 / $22,387.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,344.23 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $4,677.35