go back

Maine rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $116.24 / $217.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.64 / $103.89 / $195.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $139.44 / $285.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.65 / $154.16 / $273.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $72.18 / $217.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $167.79 / $259.70