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Maine rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.94 / $121.94 / $211.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.11 / $160.57 / $254.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.58 / $184.23 / $263.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.79 / $173.60 / $266.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.94 / $121.94 / $211.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.19 / $171.62 / $242.82