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Massachusetts rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.58 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.48 / $1,479.45 / $2,720.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,667.00 / $7,072.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.31 / $2,160.91 / $7,994.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.35 / $2,215.96 / $4,016.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,726.11 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.39 / $1,240.76 / $2,000.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.63 / $2,675.51 / $3,397.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.24 / $2,301.48 / $7,994.16
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
$1,238.75 / $1,690.85 / $4,119.54