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Massachusetts 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
$1,015.00 / $2,733.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.81 / $998.43 / $3,069.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.74 / $3,818.90 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.84 / $1,470.16 / $5,588.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.58 / $1,488.94 / $2,745.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.89 / $1,576.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.38 / $867.13 / $1,366.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.78 / $1,836.40 / $2,668.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,115.38 / $4,115.38 / $4,115.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.80 / $1,160.80 / $1,160.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.65 / $1,649.92 / $5,588.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.80 / $1,217.36 / $2,711.39