go back

Maine rates for HCPCS 50572

Rnl Ndsc Nfrot W/Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.71 / $679.71 / $769.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.98 / $709.10 / $1,071.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.92 / $785.56 / $1,125.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.85 / $750.66 / $1,151.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.71 / $679.71 / $769.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.50 / $766.52 / $1,035.24