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Massachusetts rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.08 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.08 / $1,381.95 / $2,974.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,726.76 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.74 / $2,209.81 / $8,473.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.91 / $2,242.48 / $4,105.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,765.10 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.54 / $1,276.33 / $2,045.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.35 / $2,736.41 / $3,474.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,233.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.84 / $2,353.46 / $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
$1,266.67 / $1,730.23 / $4,080.45