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Massachusetts rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.71 / $1,106.13 / $2,231.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,190.21 / $5,810.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.53 / $1,772.39 / $6,566.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.13 / $1,797.77 / $3,299.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,419.51 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.69 / $1,019.76 / $1,644.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.79 / $2,198.07 / $2,790.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,194.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.49 / $1,892.68 / $6,566.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.60 / $1,411.06 / $3,274.88