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Maine rates for HCPCS 54230

Injection Corpora Cavernosograpy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $99.60 / $169.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.07 / $124.16 / $204.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.29 / $145.52 / $230.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.34 / $154.04 / $236.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $99.80 / $169.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.58 / $135.10 / $219.12