go back

Massachusetts rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, 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
$988.00 / $2,096.25 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.99 / $647.64 / $1,306.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.36 / $1,339.09 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.90 / $1,039.36 / $3,821.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.77 / $1,050.02 / $1,903.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.69 / $1,090.58 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.20 / $601.21 / $952.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.71 / $1,278.07 / $1,622.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,408.00 / $7,161.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.20 / $1,090.58 / $3,821.36
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
$593.26 / $814.14 / $1,919.36