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Massachusetts rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, 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
$988.00 / $2,096.25 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.28 / $688.84 / $1,386.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,133.00 / $9,301.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.53 / $1,102.35 / $4,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.62 / $1,114.11 / $2,019.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.35 / $1,155.40 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.10 / $637.98 / $1,008.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.21 / $1,362.59 / $2,053.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,592.00 / $10,616.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.52 / $1,155.40 / $4,049.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.16 / $838.15 / $2,034.45