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Massachusetts rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.56 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.28 / $1,564.50 / $3,060.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,854.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.44 / $2,410.50 / $8,662.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.50 / $2,449.88 / $4,496.93
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,909.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.63 / $1,375.27 / $2,217.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.75 / $3,006.81 / $3,817.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $9,157.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.77 / $2,566.10 / $8,662.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,372.00 / $5,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.38 / $2,279.92 / $5,470.84