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Maine rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.80 / $937.80 / $997.42
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
$848.84 / $976.62 / $1,436.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.71 / $1,095.05 / $1,568.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $1,006.29 / $1,543.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.80 / $937.80 / $997.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.06 / $1,026.14 / $1,394.46