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Massachusetts rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $524.81 / $1,230.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $524.81 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $426.58 / $2,089.30
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $1,174.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $676.08 / $1,659.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $524.81 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $457.09 / $1,737.80