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Massachusetts rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.09 / $566.41 / $1,146.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.47 / $3,592.00 / $12,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.40 / $912.05 / $3,352.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.36 / $921.40 / $1,669.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.67 / $957.30 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.36 / $524.94 / $835.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.66 / $1,128.15 / $1,702.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,672.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.78 / $957.30 / $3,352.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.74 / $706.57 / $1,677.78