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Arizona 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
$1,965.00 / $4,173.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.39 / $826.94 / $3,161.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.47 / $695.30 / $869.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.86 / $918.24 / $1,644.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.39 / $1,079.48 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.68 / $887.77 / $5,588.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.92 / $820.77 / $1,448.24