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Maine rates for HCPCS 50386

Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.69 / $256.23 / $1,181.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.76 / $329.58 / $1,135.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.51 / $343.78 / $1,408.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.50 / $460.15 / $1,390.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.82 / $256.23 / $1,181.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.32 / $1,120.22 / $1,586.14