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Maine rates for HCPCS 50040

Nephrostomy Nephrotomy W/Drainage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.08 / $1,182.08 / $1,332.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.33 / $1,232.84 / $1,891.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.05 / $1,382.77 / $1,981.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.69 / $1,324.87 / $2,032.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.08 / $1,182.08 / $1,332.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.22 / $1,561.70 / $1,833.35