go back

Maryland rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.59 / $423.07 / $4,065.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.46 / $284.75 / $791.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.09 / $223.12 / $255.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.09 / $305.55 / $666.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.95 / $343.08 / $592.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,097.02 / $4,097.02 / $4,097.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.37 / $324.48 / $518.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.03 / $305.83 / $379.08