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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.81 / $772.79 / $3,003.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.05 / $11,775.43 / $18,880.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.03 / $1,151.95 / $1,410.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $215.46 / $1,162.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.73 / $1,001.29 / $1,176.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.16 / $1,151.95 / $1,410.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.00 / $1,232.91 / $1,711.93