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Maryland rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.45 / $915.00 / $4,220.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.32 / $884.98 / $1,038.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.41 / $1,081.19 / $2,495.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.22 / $1,098.86 / $1,755.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.26 / $955.49 / $1,610.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.33 / $950.15 / $1,181.21