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Massachusetts rates for HCPCS 50570

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,096.25 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.98 / $598.64 / $1,208.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,930.00 / $6,009.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.04 / $960.84 / $3,531.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.82 / $971.31 / $1,760.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.59 / $1,007.84 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.11 / $554.96 / $879.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.55 / $1,180.64 / $1,583.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,408.00 / $7,835.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.91 / $1,007.84 / $3,531.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.44 / $744.62 / $1,772.66