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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
$988.00 / $2,096.25 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.73 / $741.88 / $1,089.54
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
$591.71 / $1,187.72 / $4,359.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.60 / $1,199.54 / $2,174.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.92 / $1,243.24 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.73 / $686.89 / $1,085.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.23 / $1,466.34 / $2,213.96
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
$685.76 / $1,243.24 / $4,359.92
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
$677.83 / $918.44 / $2,180.53