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Maine rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.88 / $1,054.88 / $1,847.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.52 / $1,402.12 / $2,217.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.27 / $1,582.34 / $2,266.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.33 / $1,513.73 / $2,322.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.88 / $1,054.88 / $1,847.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.33 / $1,564.23 / $2,095.14