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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
$1,137.50 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.49 / $1,385.97 / $2,722.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,667.83 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.64 / $2,162.28 / $8,473.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.16 / $2,191.92 / $4,017.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,727.19 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.80 / $1,241.53 / $2,001.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.45 / $2,677.13 / $3,399.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $8,087.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.05 / $2,302.92 / $8,473.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.55 / $1,692.32 / $3,993.09