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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.15 / $1,036.18 / $5,243.69
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
$691.20 / $921.60 / $1,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,805.45 / $8,805.45 / $8,805.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.60 / $1,219.22 / $2,191.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.15 / $1,447.37 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.76 / $1,178.38 / $8,596.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.85 / $1,093.26 / $1,976.84