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Massachusetts rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $2,733.00 / $5,021.56
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,566.00 / $4,566.00 / $4,566.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$155.25 / $155.25 / $155.25
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$62.10 / $62.10 / $62.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.49 / $454.02 / $1,284.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.62 / $3,818.90 / $12,379.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$613.42 / $613.42 / $7,119.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$153.36 / $153.36 / $1,779.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.88 / $590.67 / $2,853.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.63 / $600.45 / $1,088.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.32 / $442.13 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.35 / $345.08 / $544.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.23 / $734.40 / $1,107.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.22 / $2,941.55 / $8,091.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.64 / $647.79 / $710.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.52 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$613.42 / $613.42 / $7,119.48
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$153.36 / $153.36 / $1,779.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.73 / $624.58 / $2,853.12
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
$337.73 / $470.26 / $1,129.06