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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.14 / $1,406.25 / $1,988.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.39 / $1,710.59 / $1,909.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.72 / $1,726.92 / $2,192.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.48 / $1,686.88 / $1,927.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,391.25 / $1,750.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,562.96 / $20,714.68 / $28,539.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.57 / $1,515.57 / $1,861.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.30 / $1,430.14 / $2,128.98