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Indiana rates for HCPCS 54304

Penis Corrj Chordee/1st Stage Hypospadias Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.77 / $4,846.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.29 / $732.77 / $977.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.04 / $963.80 / $1,368.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.95 / $885.72 / $1,021.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.32 / $817.58 / $1,021.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.49 / $999.98 / $1,618.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.22 / $897.71 / $1,499.76