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Tennessee 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
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.53 / $991.59 / $2,058.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,549.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.36 / $950.87 / $1,541.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.81 / $1,048.18 / $1,645.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,756.24 / $9,388.90 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,588.00 / $5,588.00 / $6,223.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.41 / $1,058.55 / $1,656.47