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Nebraska 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
$4,382.00 / $9,237.36 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.40 / $687.40 / $3,948.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,578.27 / $7,559.99 / $14,192.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.63 / $1,136.30 / $1,515.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.20 / $1,726.39 / $2,295.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.66 / $1,306.06 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.31 / $1,739.12 / $5,588.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.00 / $1,765.93 / $3,145.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.00 / $1,636.09 / $2,283.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,286.59 / $1,859.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.31 / $1,652.51 / $1,775.55