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Massachusetts rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $2,187.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $645.65 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,000.00 / $2,089.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,548.82 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,584.89
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
$707.95 / $1,318.26 / $1,995.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $3,162.28 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $2,187.76