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Maryland rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,677.35 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $2,454.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,071.52