go back

Maine rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.11 / $143.28 / $181.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.36 / $147.32 / $195.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.81 / $183.13 / $271.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.54 / $154.16 / $239.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.11 / $143.28 / $181.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.72 / $171.33 / $250.31