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Maine rates for HCPCS 54861

Epididymectomy Bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $566.29 / $980.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.09 / $751.42 / $1,197.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.61 / $853.59 / $1,222.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.05 / $817.91 / $1,254.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $566.29 / $980.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.07 / $884.11 / $1,136.16