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Maine rates for HCPCS 54220

Irrigation of corpora cavernosa for priapism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.40 / $132.40 / $210.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.40 / $210.72 / $242.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.91 / $238.98 / $359.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.09 / $283.58 / $427.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.12 / $274.52 / $429.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.40 / $206.15 / $242.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.59 / $312.18 / $449.47