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Maryland rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,411.92 / $7,411.92 / $7,411.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.16 / $744.88 / $1,347.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.17 / $724.86 / $922.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,016.21 / $3,016.21 / $3,016.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.40 / $931.40 / $2,103.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.64 / $899.93 / $1,438.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.94 / $782.23 / $1,318.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.65 / $778.14 / $967.38