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Massachusetts rates for HCPCS 50955

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.96 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.69 / $441.96 / $868.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,764.00 / $12,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.50 / $879.95 / $6,333.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.92 / $516.50 / $912.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.46 / $809.71 / $1,588.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.02 / $725.56 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $506.12 / $788.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.73 / $913.75 / $1,317.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.79 / $1,235.34 / $6,333.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.28 / $791.52 / $1,595.12