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Delaware 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
$4,736.00 / $8,405.21 / $15,883.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.13 / $670.13 / $766.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.25 / $927.44 / $1,318.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.52 / $909.14 / $1,708.62