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Arkansas 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
$956.00 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.64 / $987.27 / $1,087.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.42 / $998.50 / $998.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.11 / $3,520.11 / $3,520.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.39 / $1,265.00 / $1,403.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.72 / $808.03 / $1,441.40