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Massachusetts rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.69 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.75 / $1,072.59 / $2,175.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,142.62 / $5,682.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.20 / $1,727.75 / $6,420.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.23 / $1,781.70 / $3,229.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,390.94 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.13 / $998.22 / $1,609.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.61 / $2,150.15 / $2,729.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,038.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.55 / $1,854.58 / $6,420.96
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
$991.94 / $1,359.82 / $3,425.14