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Massachusetts rates for HCPCS 50974

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $1,513.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,677.35 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,621.81
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $870.96 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $478.63 / $707.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $1,288.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,677.35 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,630.78 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,698.24