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Maine rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.94 / $4,286.41 / $6,909.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $256.95 / $412.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.97 / $297.02 / $414.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.58 / $366.96 / $563.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.79 / $318.22 / $495.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.46 / $4,351.10 / $6,909.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.83 / $256.95 / $465.80
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
$273.13 / $390.58 / $519.53