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Wisconsin 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
$776.25 / $1,479.11 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,380.38 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,137.96 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,290.87 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $7,585.78 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,318.26 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,621.81 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,454.40 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $3,467.37 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,467.37 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,174.90 / $3,090.30