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Maine rates for HCPCS 50688

Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $100.25 / $115.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $104.13 / $160.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.42 / $119.34 / $165.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.02 / $112.08 / $171.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.25 / $100.25 / $115.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.87 / $114.16 / $154.63