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Massachusetts rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.39 / $1,823.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $102.07 / $177.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.29 / $953.00 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $190.46 / $3,694.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.83 / $104.82 / $187.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.04 / $180.94 / $295.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $150.76 / $345.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.88 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $135.84 / $223.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.07 / $191.44 / $332.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,055.95 / $2,796.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $355.76 / $3,694.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $187.61 / $497.25