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Maine rates for HCPCS 50800

Ureteroenterostomy Anast Ureter Intestine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.33 / $1,186.33 / $1,330.10
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
$1,114.10 / $1,234.27 / $1,885.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.94 / $1,381.32 / $1,978.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.35 / $1,320.58 / $2,025.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.33 / $1,186.33 / $1,330.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.39 / $1,443.55 / $2,025.84