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Massachusetts rates for HCPCS 48154

Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy

Facilitymedian $3,388 · 10th–90th $1,778–$5,8880%10%10th90th$3,388Professionalmedian $3,467 · 10th–90th $2,692–$7,5860%10%10th90th$3,467$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
$2,691.53 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,162.28 / $7,244.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,511.89 / $17,782.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,168.69 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $741.31 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $3,890.45 / $7,762.47
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $5,623.41
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,467.37 / $5,128.61
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
$2,754.23 / $4,786.30 / $7,079.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,511.89 / $17,782.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,168.69 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,754.23 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,466.84 / $8,317.64