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Maine rates for HCPCS 50974

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.53 / $604.53 / $684.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.73 / $630.54 / $953.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.07 / $699.22 / $1,001.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.41 / $667.68 / $1,024.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.53 / $604.53 / $684.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.54 / $744.22 / $921.81