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Maine rates for HCPCS 54520

Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,677.16 / $6,677.16 / $6,677.16
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,057.36 / $3,057.36 / $7,985.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,677.16 / $6,677.16 / $6,677.16
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,057.36 / $3,057.36 / $7,985.36