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Maine rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $2,290.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,148.15 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,659.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,548.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $1,659.59