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Maryland rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.97 / $1,165.22 / $5,798.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.73 / $1,264.73 / $1,445.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.16 / $1,476.10 / $3,410.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.91 / $1,502.78 / $2,403.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.74 / $1,351.09 / $2,609.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.30 / $1,299.40 / $1,616.30