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Maine rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.38 / $3,565.64 / $5,115.08
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,842.19 / $9,842.19 / $9,842.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.38 / $3,565.64 / $10,561.25
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,842.19 / $9,842.19 / $9,842.19