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Maine rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.26 / $293.64 / $2,553.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.38 / $388.60 / $2,976.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.65 / $629.69 / $3,524.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.41 / $499.15 / $3,386.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.26 / $293.64 / $2,553.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.89 / $2,446.67 / $3,675.90