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Massachusetts rates for HCPCS 50526

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $5,011.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,467.37 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,187.76 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,884.03 / $5,495.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,344.23 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,621.81 / $2,454.71
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,691.53 / $3,890.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,467.37 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,187.76 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $4,466.84