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Maine rates for HCPCS 54680

Transplantation of testis(es) to thigh (because of scrotal destruction)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.82 / $785.82 / $1,352.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.88 / $1,044.53 / $1,654.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.69 / $1,179.52 / $1,689.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.87 / $1,129.33 / $1,732.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.82 / $785.82 / $1,352.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.31 / $1,121.71 / $1,563.54