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Massachusetts rates for HCPCS 50690

Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service

Facilitymedian $1,413 · 10th–90th $78$3,6310%5%10%10th90th$1,413Professionalmedian $126 · 10th–90th $69$3020%10%10th90th$126$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $2,089.30 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $288.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,000.00 / $4,365.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $177.83 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $331.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $79.43 / $1,995.26
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $131.83 / $223.87
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $141.25 / $295.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,000.00 / $4,365.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $138.04 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $141.25 / $316.23