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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
$1,483.45 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.45 / $1,825.11 / $3,940.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.97 / $3,103.42 / $11,117.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.81 / $3,128.02 / $5,767.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,428.37 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.22 / $1,763.64 / $2,843.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.65 / $3,861.02 / $4,902.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $19,117.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.11 / $3,286.80 / $11,117.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.68 / $2,300.76 / $5,917.83