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Massachusetts rates for HCPCS 50920

Closure of ureterocutaneous fistula

Facilitymedian $2,818 · 10th–90th $794$5,6230%10%10th90th$2,818Professionalmedian $1,072 · 10th–90th $813$2,3440%20%10th90th$1,072$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $954.99 / $2,398.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,137.96 / $5,495.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,288.25 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,348.96 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $977.24 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $870.96 / $1,288.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,412.54 / $2,137.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,137.96 / $5,495.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,288.25 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,318.26 / $2,511.89