go back

Massachusetts rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.20 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.26 / $527.20 / $966.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.20 / $3,764.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.11 / $1,080.53 / $9,395.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.45 / $386.70 / $758.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.05 / $881.00 / $1,887.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.76 / $542.40 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.79 / $704.42 / $1,121.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.90 / $708.58 / $1,570.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.34 / $4,249.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.61 / $2,025.39 / $9,395.39
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
$707.38 / $1,123.90 / $2,694.34