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Massachusetts rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.94 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.69 / $1,267.58 / $2,424.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,381.44 / $7,223.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.57 / $1,925.51 / $7,144.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.84 / $1,979.48 / $3,587.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,544.93 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.97 / $1,113.27 / $1,788.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.27 / $2,391.31 / $3,036.18
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
$1,117.58 / $2,059.90 / $7,144.08
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
$869.45 / $1,444.25 / $3,558.58