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North Carolina 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
$901.95 / $3,843.00 / $13,180.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.40 / $771.26 / $1,493.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.26 / $1,465.28 / $1,925.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.28 / $1,243.60 / $2,139.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.40 / $1,032.04 / $1,866.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.04 / $1,032.04 / $1,851.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,290.90 / $1,859.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.89 / $1,050.14 / $2,017.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,756.24 / $9,388.90 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,588.00 / $5,588.00 / $6,223.73