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Massachusetts rates for HCPCS 50580

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,290.87 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,905.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,398.83 / $12,589.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $891.25 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,096.48 / $2,089.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,122.02 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $602.56 / $912.01
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $1,659.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,162.28 / $12,589.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $891.25 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $2,187.76