go back

Massachusetts rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $353.38 / $763.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.49 / $3,997.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.79 / $566.26 / $2,088.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.23 / $575.92 / $1,043.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.29 / $597.88 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.59 / $330.33 / $521.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.26 / $702.55 / $1,060.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.57 / $597.88 / $2,088.23
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
$323.77 / $467.76 / $1,113.48