go back

Massachusetts rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.68 / $2,747.00 / $7,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.81 / $1,797.74 / $2,643.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $24,420.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.38 / $3,410.32 / $13,253.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.92 / $2,954.27 / $6,224.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,783.83 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.80 / $2,554.78 / $3,752.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.14 / $4,372.49 / $5,404.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $24,420.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.92 / $3,560.48 / $13,253.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.96 / $2,664.18 / $5,839.88