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Maryland rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.63 / $484.99 / $2,441.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.05 / $504.94 / $755.00
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
$460.94 / $637.27 / $1,423.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.83 / $628.86 / $1,004.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.38 / $569.00 / $1,055.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.57 / $543.75 / $676.72