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Maine rates for HCPCS 50580

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,318.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,202.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,318.26