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Maine rates for HCPCS 54380

Plastic Rpr Penis Epispadias Dstl Sphnctr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.61 / $797.61 / $1,393.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.89 / $1,060.30 / $1,679.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.56 / $1,196.83 / $1,714.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.57 / $1,146.98 / $1,759.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.61 / $797.61 / $1,393.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.57 / $1,263.55 / $1,587.94