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Massachusetts rates for HCPCS 42408

Excision of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,148.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,981.07 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $630.96 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $1,318.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $707.95 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,174.90
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,801.89 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $707.95 / $1,445.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,981.07 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $630.96 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,890.45 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $1,380.38