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Massachusetts rates for HCPCS 50130

Pyelotomy With Removal Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.28 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.84 / $1,255.94 / $2,550.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,502.67 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.01 / $2,025.57 / $7,505.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.24 / $2,053.23 / $3,769.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,622.03 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.91 / $1,165.41 / $1,878.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.30 / $2,512.30 / $3,189.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,589.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.25 / $2,162.69 / $7,505.04
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
$1,009.01 / $1,529.98 / $3,742.17