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Massachusetts rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.33 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.69 / $1,252.63 / $2,077.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,595.82 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.40 / $2,280.78 / $10,441.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.41 / $2,303.46 / $4,207.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.86 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.80 / $1,301.11 / $2,097.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.58 / $2,806.25 / $3,563.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,901.23 / $5,901.23 / $5,901.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $10,496.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.53 / $2,412.78 / $10,441.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.48 / $1,773.41 / $4,210.34