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Massachusetts rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.60 / $3,107.00 / $7,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,063.00 / $26,542.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,457.50 / $6,493.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,218.19 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $7,250.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00