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Massachusetts rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, 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
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $1,122.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,128.61 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $660.69 / $1,230.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $660.69 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $363.08 / $537.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $977.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,370.32 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $1,288.25