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Massachusetts rates for HCPCS 50430

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,187.76 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,479.11 / $3,801.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $407.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,479.11 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,089.30 / $6,165.95