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Maryland rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,394.20 / $4,714.78 / $4,714.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $860.55 / $3,039.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.20 / $833.56 / $952.77
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
$762.35 / $1,015.88 / $2,422.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.24 / $1,035.06 / $1,655.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $3,522.00 / $3,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.86 / $924.12 / $1,523.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.25 / $894.98 / $1,112.86