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Massachusetts rates for HCPCS 50225

Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney

Facilitymedian $2,818 · 10th–90th $1,000–$5,6230%10%10th90th$2,818Professionalmedian $1,479 · 10th–90th $1,096–$3,2360%10%20%10th90th$1,479$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,288.25 / $3,235.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,754.23 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,778.28 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,819.70 / $4,168.69
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,318.26 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,148.15 / $1,737.80
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,905.46 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,754.23 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,778.28 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,778.28 / $3,311.31