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Maine 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
Professional
Modifier
Low / Median / High Price
$747.39 / $747.39 / $1,308.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.45 / $995.58 / $1,570.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.59 / $1,120.28 / $1,605.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.43 / $1,072.10 / $1,644.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.39 / $747.39 / $1,308.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.00 / $1,062.39 / $1,640.87