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Missouri 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
$1,760.00 / $4,261.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.81 / $857.24 / $1,053.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.40 / $920.00 / $1,528.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.03 / $1,096.17 / $1,956.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.57 / $1,576.00 / $11,564.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.62 / $1,384.75 / $5,588.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.04 / $936.74 / $1,839.83