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Vermont 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
Professional
Modifier
Low / Median / High Price
$950.76 / $950.76 / $3,948.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.84 / $1,239.84 / $2,648.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.70 / $1,239.84 / $2,648.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.12 / $1,063.73 / $3,251.25