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Massachusetts rates for HCPCS 50630

Ureterolithotomy; lower one-third of 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
$888.32 / $1,085.08 / $2,203.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,164.17 / $5,741.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.20 / $1,750.07 / $6,487.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.96 / $1,775.27 / $3,260.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.18 / $1,870.48 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.22 / $1,007.71 / $1,624.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.68 / $2,172.08 / $2,757.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,109.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.62 / $1,870.48 / $6,487.76
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
$944.45 / $1,373.65 / $3,233.87