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Massachusetts rates for HCPCS 50555

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.71 / $2,079.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.02 / $3,372.00 / $12,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.75 / $500.70 / $884.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.52 / $703.38 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,649.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00