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Maine rates for HCPCS 50782

Ureteroneocystostomy; anastomosis of duplicated ureter to bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,140.89 / $16,140.89 / $16,140.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.62 / $1,377.62 / $1,605.16
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
$1,294.73 / $1,429.28 / $2,191.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.94 / $1,603.86 / $2,297.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.63 / $1,534.71 / $2,354.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,140.89 / $16,140.89 / $16,140.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.62 / $1,377.62 / $1,605.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.45 / $1,622.10 / $2,123.23