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Maine rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $1,444.63 / $1,640.81
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
$1,357.10 / $1,501.04 / $2,294.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.38 / $1,681.10 / $2,408.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.91 / $1,607.20 / $2,465.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $1,444.63 / $1,640.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.66 / $1,672.53 / $2,230.04