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Massachusetts rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.46 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.41 / $1,772.11 / $3,595.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,348.51 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.93 / $2,856.96 / $10,555.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.49 / $2,903.45 / $5,293.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,253.59 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.04 / $1,636.70 / $2,638.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.76 / $3,532.16 / $4,484.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $10,673.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.32 / $3,032.80 / $10,555.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,372.00 / $5,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.18 / $2,323.67 / $5,248.57