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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
$467.74 / $575.44 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $1,023.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,023.29