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Massachusetts rates for HCPCS 42507

Parotid duct diversion, bilateral (Wilke type procedure);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $1,445.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $5,888.44 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $1,380.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $977.24 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,000.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $5,011.87 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $831.76 / $1,258.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $5,888.44 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,370.32 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,380.38