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Minnesota rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.10 / $2,327.00 / $8,150.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,635.84 / $5,403.37 / $11,143.91
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,644.39 / $7,046.57 / $12,355.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.67 / $1,115.59 / $2,683.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.51 / $1,019.93 / $2,113.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.61 / $654.79 / $5,594.71
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,439.19 / $6,439.19 / $6,439.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00