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Maine rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $114.82 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $104.71 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $151.36 / $309.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $151.36 / $338.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $131.83 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $120.23 / $281.84