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Massachusetts rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,818.38 / $11,220.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $537.03 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $676.08 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $489.78 / $1,023.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $645.65 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $776.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,570.88 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,047.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,818.38 / $11,220.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,786.30 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $524.81 / $1,122.02