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Massachusetts rates for HCPCS 52315

Cysto W/Complex Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.82 / $2,563.40 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.74 / $435.82 / $1,162.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.39 / $3,764.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.25 / $726.89 / $4,922.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.33 / $403.43 / $711.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.67 / $753.41 / $1,457.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.89 / $565.84 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.64 / $542.38 / $834.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.75 / $736.10 / $1,228.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,103.34 / $3,103.34 / $3,103.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.10 / $412.10 / $434.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.08 / $4,249.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.78 / $1,179.99 / $4,922.22
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
$488.77 / $724.71 / $1,646.80