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Massachusetts rates for HCPCS 52300

Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.40 / $3,997.00 / $12,379.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.35 / $577.24 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $4,525.00 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00