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Massachusetts rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.74 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.94 / $1,302.21 / $1,955.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $11,765.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.49 / $2,463.94 / $9,211.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.68 / $2,140.23 / $4,497.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,011.69 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.02 / $1,846.17 / $2,711.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.23 / $3,160.66 / $3,906.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $11,765.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.52 / $2,583.65 / $9,211.20
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
$1,320.57 / $1,880.03 / $4,436.72