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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.65 / $1,060.16 / $1,496.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.85 / $1,286.39 / $1,436.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.76 / $1,303.92 / $1,647.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.80 / $1,272.51 / $1,454.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,048.79 / $1,319.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,284.43 / $8,724.34 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.69 / $1,142.69 / $1,401.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.62 / $1,002.61 / $1,559.60