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Maine 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
$1,413.24 / $1,413.24 / $1,616.96
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
$1,327.13 / $1,467.46 / $2,245.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.94 / $1,643.19 / $2,354.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.88 / $1,572.39 / $2,412.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.24 / $1,413.24 / $1,616.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.88 / $1,837.39 / $2,176.07