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Massachusetts rates for HCPCS 50405

Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)

Facilitymedian $3,090 · 10th–90th $1,318–$6,3100%10%10th90th$3,090Professionalmedian $1,778 · 10th–90th $1,288–$4,3650%20%10th90th$1,778$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
$1,445.44 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,584.89 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,388.44 / $8,511.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,041.74 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $2,137.96 / $4,897.79
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,548.82 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,348.96 / $2,041.74
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,238.72 / $3,311.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,388.44 / $8,511.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,041.74 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,248.07 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,089.30 / $3,890.45