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Massachusetts rates for HCPCS 52301

Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $309.03 / $933.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,128.61 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $524.81 / $1,000.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $537.03 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $295.12 / $436.52
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $794.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,370.32 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $1,047.13