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Maine rates for HCPCS 50770

Transureteroureterostomy Anast Ureter Clat Urtr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.12 / $1,478.12 / $1,632.97
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
$1,388.28 / $1,534.17 / $2,348.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.85 / $1,719.21 / $2,463.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.16 / $1,644.88 / $2,523.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.12 / $1,478.12 / $1,632.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.33 / $1,632.79 / $2,275.86