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Maryland rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.02 / $4,053.15 / $24,375.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.15 / $445.75 / $714.51