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Massachusetts rates for HCPCS 51580

Cystectomy W/Ureterosigmoidostomy W/Nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,942.14 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.01 / $2,305.42 / $4,675.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.98 / $3,715.65 / $24,470.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.69 / $3,776.45 / $6,879.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,867.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.63 / $2,127.48 / $3,429.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.69 / $4,592.63 / $5,831.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $15,614.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,127.41 / $3,941.10 / $24,470.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.98 / $2,668.39 / $6,853.24