go back

Massachusetts rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.60 / $2,704.85 / $5,011.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.58 / $3,728.00 / $26,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.10 / $701.74 / $1,251.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.00 / $920.70 / $6,493.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.50 / $995.76 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00