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Massachusetts rates for HCPCS 42330

Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $2,238.72 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $645.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,905.46 / $5,623.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $323.59 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $602.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $257.04 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $524.81
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $602.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,905.46 / $5,623.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,548.13 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $602.56