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Maine rates for HCPCS 50900

Ureterorrhaphy Suture Ureter Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.93 / $1,079.93 / $1,564.44
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
$1,018.32 / $1,120.15 / $1,724.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.86 / $1,261.31 / $1,807.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.60 / $1,207.55 / $1,852.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.93 / $1,079.93 / $1,564.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.51 / $1,283.94 / $1,672.78