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Maine rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.46 / $702.46 / $1,226.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.01 / $935.00 / $1,477.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.49 / $1,053.18 / $1,508.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.18 / $1,008.67 / $1,547.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.46 / $702.46 / $1,226.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.50 / $998.06 / $1,397.69