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Massachusetts rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.43 / $1,886.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.52 / $216.78 / $347.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.85 / $1,143.96 / $5,047.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.95 / $418.93 / $1,688.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.54 / $253.84 / $452.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.74 / $463.93 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.63 / $321.85 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.16 / $354.73 / $697.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.50 / $270.14 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $348.19 / $512.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.63 / $451.91 / $637.80
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,622.48 / $7,622.48 / $7,622.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.61 / $429.61 / $429.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,640.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.86 / $560.32 / $1,688.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $3,133.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.94 / $358.42 / $876.07