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Massachusetts rates for HCPCS 50553

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.72 / $2,079.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.14 / $3,764.00 / $12,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.87 / $460.62 / $814.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.92 / $647.05 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00