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Michigan 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

Facilitymedian $4,898 · 10th–90th $1,000–$7,5860%20%10th90th$4,898Professionalmedian $891 · 10th–90th $676–$1,5850%10%20%10th90th$891$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,897.79 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $870.96 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $2,398.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,073.80 / $7,585.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $1,659.59
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $891.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,165.95 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $954.99 / $1,258.93