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Massachusetts rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.74 / $1,886.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $74.18 / $111.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $905.10 / $4,569.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.86 / $144.01 / $538.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $91.67 / $163.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.99 / $928.83 / $928.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.77 / $97.92 / $500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $124.02 / $265.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.19 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.17 / $110.81 / $183.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $157.78 / $204.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,385.60 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.59 / $190.96 / $538.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $123.27 / $316.83