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Maine rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.03 / $799.03 / $1,325.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.50 / $1,062.15 / $1,682.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.33 / $1,198.75 / $1,717.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.05 / $1,148.89 / $1,762.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.03 / $799.03 / $1,325.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.51 / $1,308.16 / $1,589.98