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Massachusetts rates for HCPCS 50688

Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.36 / $97.29 / $206.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.53 / $3,592.00 / $10,821.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.68 / $156.81 / $677.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $183.25 / $183.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.13 / $159.36 / $408.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $92.49 / $143.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.26 / $191.98 / $286.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $3,672.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $167.40 / $677.17
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
$89.88 / $128.34 / $291.31