go back

Massachusetts rates for HCPCS 42340

Sialolithotomy Prtd Xtroral/Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.25 / $2,410.00 / $3,469.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.61 / $433.41 / $671.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,388.00 / $16,394.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.44 / $896.80 / $3,815.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.34 / $529.86 / $945.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.88 / $1,620.25 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $652.29 / $3,103.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.69 / $728.50 / $1,475.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.55 / $751.86 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.26 / $790.80 / $1,136.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.01 / $948.63 / $1,443.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,388.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.72 / $1,275.72 / $3,815.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.65 / $767.44 / $1,625.23