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Maine rates for HCPCS 50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,137.96
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,137.96 / $2,137.96 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $338.84 / $870.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$446.68 / $512.86 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $229.09 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.91 / $346.74 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $1,122.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $616.60 / $1,071.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,137.96
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,137.96 / $2,137.96 / $4,265.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $371.54 / $1,380.38
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$446.68 / $512.86 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $457.09 / $1,096.48