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Massachusetts rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,107.00 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.93 / $1,368.42 / $2,677.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,633.44 / $6,981.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.58 / $2,126.10 / $10,138.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.47 / $2,189.30 / $3,967.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.22 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.34 / $1,225.78 / $1,976.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.43 / $2,641.41 / $3,353.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.33 / $2,276.14 / $10,138.48
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
$1,208.19 / $1,692.66 / $3,789.37