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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.81 / $772.79 / $3,069.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.22 / $926.33 / $926.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.94 / $1,244.86 / $11,782.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.17 / $889.27 / $1,037.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.88 / $926.33 / $1,199.46
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.47 / $2,582.96 / $6,124.00