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Maine rates for HCPCS 54000

Slitting of prepuce, dorsal or lateral (separate procedure); newborn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $156.84 / $269.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $176.13 / $264.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.53 / $227.20 / $329.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.74 / $203.21 / $316.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $156.84 / $269.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.65 / $241.62 / $333.60