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Arizona rates for HCPCS 54308

Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.06 / $757.04 / $3,772.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.13 / $666.84 / $833.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.75 / $842.33 / $1,570.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.06 / $1,046.84 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.46 / $829.60 / $6,877.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.07 / $764.42 / $1,389.15