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Maine rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.98 / $455.98 / $515.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.42 / $475.21 / $717.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.85 / $542.83 / $755.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.30 / $502.67 / $771.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.98 / $455.98 / $515.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,167.24 / $10,167.24 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.75 / $504.98 / $694.56