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Maine rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.30 / $1,788.43 / $2,008.38
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
$1,677.85 / $1,857.09 / $2,838.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.65 / $2,079.21 / $2,978.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.78 / $1,988.26 / $3,050.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.30 / $1,788.43 / $2,008.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.05 / $1,988.26 / $2,749.65