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Maryland rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.57 / $956.70 / $4,754.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.33 / $1,038.33 / $1,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.37 / $1,211.31 / $2,800.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.89 / $1,234.08 / $1,974.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.81 / $1,104.54 / $2,310.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.34 / $1,067.07 / $1,327.13