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Massachusetts rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.20 / $1,417.06 / $2,898.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,547.76 / $7,589.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.55 / $2,282.52 / $8,207.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.56 / $2,313.76 / $4,266.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.92 / $1,794.75 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.07 / $1,303.47 / $2,101.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.88 / $2,848.47 / $3,616.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,408.00 / $7,835.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.96 / $2,433.10 / $8,207.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $2,408.00 / $7,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.10 / $1,642.22 / $4,216.68