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New Mexico 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 $7,762 · 10th–90th $1,072$16,9820%10%20%10th90th$7,762Professionalmedian $851 · 10th–90th $692$1,8620%10%20%10th90th$851$50.0$200.0$1.0K$5.0K$20.0K

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
$1,071.52 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $12,302.69 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,071.52 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,071.52 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,096.48 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $9,120.11 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,148.15 / $1,698.24