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Maine rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $467.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $524.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $4,365.16 / $6,918.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $524.81