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Massachusetts rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.59 / $2,618.00 / $4,410.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.56 / $2,575.00 / $26,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.48 / $533.89 / $952.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $6,493.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.18 / $757.58 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00