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Maine rates for HCPCS 54001

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.91 / $3,301.91 / $3,301.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.05 / $193.27 / $332.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.91 / $217.76 / $322.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.39 / $274.89 / $423.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.01 / $247.32 / $384.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.91 / $3,301.91 / $3,301.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.05 / $193.27 / $240.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.44 / $280.68 / $403.98