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Massachusetts rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.32 / $3,107.00 / $5,851.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.87 / $289.87 / $473.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.19 / $2,410.09 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.83 / $599.86 / $2,681.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.19 / $339.48 / $605.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.68 / $1,620.25 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,457.50 / $3,103.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.48 / $471.57 / $968.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.91 / $1,129.00 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.94 / $562.46 / $803.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.89 / $604.23 / $1,016.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.38 / $889.30 / $2,681.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.81 / $532.95 / $1,312.82