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Ohio 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
$950.00 / $4,263.18 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.78 / $766.78 / $2,473.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,967.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.70 / $843.24 / $1,465.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.98 / $848.38 / $1,050.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.68 / $777.68 / $805.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.48 / $1,017.58 / $1,520.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.98 / $1,074.83 / $1,473.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $724.57 / $1,048.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.50 / $929.99 / $1,571.50