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Maine rates for HCPCS 50700

Ureteroplasty Plastic Operation Ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.33 / $1,186.33 / $1,330.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,065.14 / $15,647.20 / $17,644.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.15 / $1,231.47 / $1,892.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.54 / $1,383.82 / $1,982.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.06 / $1,325.34 / $2,033.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.33 / $1,186.33 / $1,330.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.36 / $1,364.33 / $2,025.77