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Massachusetts rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.65 / $2,079.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.93 / $3,764.00 / $12,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.24 / $462.40 / $817.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.20 / $649.55 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00