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Massachusetts rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.55 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.30 / $1,700.62 / $3,679.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $4,287.00 / $10,228.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.23 / $2,735.76 / $12,628.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.98 / $2,778.05 / $5,075.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,160.23 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.63 / $1,568.91 / $2,529.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.62 / $3,385.19 / $4,298.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.82 / $420.82 / $445.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $11,272.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.45 / $2,907.90 / $12,628.99
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
$1,357.23 / $2,047.22 / $5,219.80