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Maryland rates for HCPCS 55120

Removal Foreign Body Scrotum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.86 / $411.01 / $1,019.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.28 / $398.09 / $553.29
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
$342.13 / $484.03 / $1,118.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.02 / $492.74 / $784.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.11 / $433.64 / $710.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.85 / $426.67 / $529.85