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Maine rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $3,981.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $13,182.57 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $3,981.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $3,548.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $3,548.13