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Maine rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.64 / $3,565.64 / $3,565.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.58 / $308.67 / $522.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.66 / $397.44 / $627.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.72 / $447.00 / $640.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.90 / $428.75 / $657.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.64 / $3,565.64 / $3,565.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.57 / $308.67 / $555.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.35 / $426.92 / $594.21