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Maine rates for HCPCS 50250

Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.40 / $1,559.40 / $1,761.54
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
$1,465.22 / $1,618.35 / $2,477.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.34 / $1,816.16 / $2,601.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.52 / $1,735.50 / $2,662.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.40 / $1,559.40 / $1,761.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.52 / $1,785.99 / $2,662.35