go back

Maine rates for HCPCS 54650

Orchiopexy Abdl Approach Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.26 / $710.26 / $1,224.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.42 / $943.86 / $1,499.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.68 / $1,067.32 / $1,529.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.03 / $1,023.93 / $1,570.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.26 / $710.26 / $1,224.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.77 / $1,109.47 / $1,559.35