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Massachusetts rates for HCPCS 50525

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.06 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.02 / $1,787.95 / $3,676.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,390.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.38 / $2,895.34 / $10,385.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.59 / $2,974.04 / $5,390.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,269.44 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.23 / $1,648.22 / $2,657.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.44 / $3,606.86 / $4,579.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $10,988.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.28 / $3,073.08 / $10,385.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,372.00 / $5,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.82 / $2,145.89 / $5,521.26