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Alaska rates for HCPCS 54304

Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.63 / $4,176.74 / $4,871.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,577.27 / $2,577.27 / $2,577.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.73 / $4,176.74 / $5,972.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.88 / $4,720.80 / $6,155.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,810.00 / $3,259.60 / $4,787.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.73 / $4,176.74 / $5,972.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.33 / $3,244.50 / $4,832.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.38 / $3,110.47 / $5,154.55