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Maryland 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
$1,074.63 / $2,263.08 / $2,734.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.26 / $854.08 / $3,003.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.39 / $827.17 / $1,010.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.77 / $1,019.48 / $2,332.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.91 / $1,025.31 / $1,641.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.15 / $874.76 / $1,505.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.98 / $886.55 / $1,102.26