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Maine rates for HCPCS 54700

Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,391.28 / $6,391.28 / $6,391.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.58 / $213.10 / $337.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.58 / $282.17 / $452.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.13 / $319.73 / $458.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.95 / $309.05 / $474.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,391.28 / $6,391.28 / $6,391.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.03 / $218.62 / $336.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.77 / $312.32 / $426.32