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Massachusetts rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.26 / $624.89 / $1,433.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.33 / $3,997.00 / $12,729.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.25 / $1,137.50 / $9,677.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.45 / $1,163.28 / $2,145.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.09 / $1,233.98 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.66 / $662.21 / $1,067.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.03 / $1,432.04 / $2,159.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.63 / $1,233.98 / $9,677.00
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
$621.58 / $902.01 / $2,593.21