go back

Maine rates for HCPCS 50972

Ndsc Ureterotomy Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.25 / $458.25 / $517.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.44 / $477.57 / $722.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.07 / $545.54 / $759.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.89 / $506.00 / $776.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.25 / $458.25 / $517.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.77 / $514.53 / $697.97