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Massachusetts rates for HCPCS 52355

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,997.00 / $14,302.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.43 / $961.48 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.75 / $1,931.75 / $9,806.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00