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Massachusetts rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.63 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.93 / $1,155.18 / $2,343.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,302.27 / $6,986.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.51 / $1,861.59 / $7,127.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.55 / $1,886.64 / $3,468.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,493.91 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.25 / $1,072.92 / $1,729.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.54 / $2,312.55 / $2,936.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.50 / $1,991.88 / $7,127.82
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
$1,017.97 / $1,461.79 / $3,440.46