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Maine rates for HCPCS 54050

Dstrj Lesion Penis Simple Chemical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.89 / $123.87 / $224.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.09 / $152.94 / $235.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.63 / $205.55 / $311.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.79 / $180.96 / $281.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.04 / $126.60 / $224.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $200.58 / $295.64