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Maine rates for HCPCS 50955

Ureteral Endoscopy Via Ureterostomy W/Biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.13 / $529.52 / $635.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.17 / $517.57 / $676.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.71 / $619.79 / $920.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.75 / $532.15 / $828.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.13 / $529.52 / $635.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.09 / $669.09 / $933.74