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Maine rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.13 / $174.46 / $306.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $205.60 / $290.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.32 / $265.04 / $379.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.36 / $222.59 / $346.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.13 / $174.46 / $306.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.70 / $256.32 / $358.51