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Maine rates for HCPCS 50570

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.33 / $628.33 / $710.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.01 / $655.37 / $990.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.94 / $725.97 / $1,040.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.41 / $693.44 / $1,063.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.33 / $628.33 / $710.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.48 / $700.71 / $973.70