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Oklahoma 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
$1,048.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.12 / $946.35 / $946.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.27 / $10,251.95 / $16,323.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.26 / $972.26 / $992.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.64 / $1,008.39 / $1,203.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.48 / $1,447.31 / $9,232.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.56 / $969.29 / $5,588.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.02 / $858.68 / $1,308.32