go back

Massachusetts rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.86 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.50 / $1,469.98 / $2,982.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,854.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.63 / $2,369.50 / $9,503.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.18 / $2,406.56 / $4,397.20
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,889.94 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.03 / $1,359.26 / $2,191.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.07 / $2,932.11 / $3,722.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $8,858.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.62 / $2,519.92 / $9,503.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.21 / $1,785.27 / $4,373.43