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Maryland rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.12 / $945.29 / $4,695.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.74 / $1,025.74 / $1,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.93 / $1,197.10 / $2,769.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.99 / $1,219.59 / $1,950.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.03 / $1,108.08 / $2,258.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.96 / $1,054.54 / $1,311.44