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Maine rates for HCPCS 50290

Excision Perinephric Cyst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.77 / $1,151.77 / $1,307.43
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
$1,086.17 / $1,195.58 / $1,837.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.30 / $1,343.79 / $1,925.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.07 / $1,286.72 / $1,973.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.77 / $1,151.77 / $1,307.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.37 / $1,273.52 / $1,782.08