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Massachusetts rates for HCPCS 46712

Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach

Facilitymedian $3,090 · 10th–90th $1,862–$5,2480%10%10th90th$3,090Professionalmedian $2,630 · 10th–90th $1,995–$5,7540%10%10th90th$2,630$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $5,495.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,398.83 / $13,803.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,162.28 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $676.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $2,951.21 / $6,025.60
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,818.38 / $4,365.16
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,691.53 / $3,981.07
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $2,511.89 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,715.35 / $5,495.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,398.83 / $13,803.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,162.28 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,511.89 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,388.44 / $6,309.57