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Maine rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,548.13 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,548.13 / $10,471.29
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37