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Maine 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
$596.34 / $596.34 / $673.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.03 / $621.45 / $940.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.24 / $689.09 / $987.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.38 / $658.62 / $1,010.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.34 / $596.34 / $673.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.76 / $663.98 / $909.11