go back

Massachusetts rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.18 / $839.66 / $1,622.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.94 / $1,696.39 / $5,985.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.08 / $1,635.47 / $2,806.02
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.05 / $1,205.56 / $2,083.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.91 / $1,674.42 / $2,267.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.73 / $2,529.12 / $5,985.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.49 / $1,369.94 / $3,591.37