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Massachusetts rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $3,388.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,630.27 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,621.81 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $3,801.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,621.81 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $1,698.24
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,778.28 / $2,630.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,630.27 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,584.89 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,090.30