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Maine rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,250.48 / $8,253.87 / $8,253.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $756.08 / $1,316.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.26 / $1,007.89 / $1,585.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.54 / $1,130.97 / $1,620.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.58 / $1,082.58 / $1,660.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,253.87 / $8,253.87 / $8,253.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $756.08 / $1,401.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.89 / $1,185.77 / $1,497.42