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Massachusetts rates for HCPCS 49500

Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible

Facilitymedian $3,631 · 10th–90th $589$6,6070%10%20%10th90th$3,631Professionalmedian $575 · 10th–90th $389$1,3490%20%10th90th$575$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,801.89 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $1,412.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $5,248.07 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $616.60 / $7,244.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $851.14 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $549.54 / $1,148.15
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $588.84 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $537.03 / $794.33
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,570.88 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $758.58 / $1,148.15
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $5,128.61 / $5,248.07
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $5,248.07 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $616.60 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $4,265.80 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $1,288.25