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Ohio rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.85 / $5,072.00 / $11,581.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,400.53 / $11,013.00 / $11,013.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $3,025.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.26 / $366.31 / $572.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,904.67 / $10,904.67 / $10,904.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00