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Massachusetts rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $2,238.72 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $181.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,258.93 / $4,677.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $102.33 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $199.53 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $112.20 / $288.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $177.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $177.83
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $109.65 / $194.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,258.93 / $4,677.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $100.00 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,162.28 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $199.53