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Massachusetts rates for HCPCS 42510

Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.83 / $2,747.00 / $5,011.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.87 / $634.83 / $961.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.80 / $3,895.00 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.78 / $1,197.80 / $5,901.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.84 / $1,620.25 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.00 / $920.70 / $3,103.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $1,008.87 / $1,918.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.34 / $1,313.14 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.92 / $886.37 / $1,398.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.62 / $1,483.70 / $1,915.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,204.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.23 / $1,199.96 / $5,901.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.72 / $1,001.18 / $2,578.21