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Massachusetts rates for HCPCS 45113

Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,090.30 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $5,248.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,089.30 / $16,982.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $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
$588.84 / $2,511.89 / $5,128.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,691.53 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $3,715.35
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
$1,737.80 / $3,090.30 / $4,677.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,089.30 / $16,982.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $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
$1,778.28 / $2,691.53 / $5,128.61