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Maryland rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.08 / $442.85 / $1,858.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.77 / $383.80 / $478.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.62 / $519.39 / $1,124.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.76 / $595.52 / $961.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.28 / $549.16 / $865.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.18 / $514.91 / $639.29