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Massachusetts rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.21 / $2,079.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.51 / $3,372.00 / $12,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.52 / $479.64 / $847.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.52 / $673.78 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,649.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00