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Arkansas rates for HCPCS 54316

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $1,494.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.34 / $1,315.09 / $1,450.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,703.29 / $8,703.29 / $10,443.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.60 / $1,325.65 / $1,325.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.11 / $3,520.11 / $3,520.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.05 / $1,655.00 / $1,865.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.69 / $1,093.28 / $2,059.62