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Massachusetts rates for HCPCS 50557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,128.61 / $26,915.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $562.34 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $1,445.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $645.65 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $512.86 / $741.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $1,148.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,370.32 / $26,915.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $549.54 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $660.69 / $1,258.93