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Massachusetts rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $3,890.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,818.38 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,778.28 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,290.87 / $4,265.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,819.70 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,288.25 / $1,905.46
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
$1,122.02 / $1,995.26 / $2,951.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,818.38 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,778.28 / $9,772.37
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
$1,230.27 / $1,819.70 / $3,467.37