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Massachusetts rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.27 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.05 / $127.27 / $242.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.53 / $502.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.53 / $229.41 / $905.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.91 / $142.88 / $252.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.88 / $236.36 / $466.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.67 / $200.40 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $146.66 / $228.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.75 / $258.39 / $377.66
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.60 / $516.60 / $516.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.74 / $309.82 / $905.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.68 / $1,078.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.63 / $199.47 / $456.34