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Maryland rates for HCPCS 54861

Epididymectomy Bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $634.58 / $1,131.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.19 / $632.02 / $722.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.60 / $757.05 / $1,781.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.48 / $782.68 / $1,251.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.88 / $695.38 / $1,403.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.93 / $676.75 / $841.13