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Massachusetts rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.54 / $1,420.18 / $3,551.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $966.90 / $3,217.68
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.63 / $2,784.57 / $9,098.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.42 / $254.05 / $499.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.10 / $1,007.43 / $6,639.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.16 / $268.85 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.80 / $2,069.73 / $3,333.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.42 / $713.93 / $4,790.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,856.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.84 / $4,239.30 / $12,622.24
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
$2,171.46 / $3,007.35 / $7,529.71