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Indiana 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
$972.91 / $2,381.31 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.91 / $975.18 / $1,297.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,200.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.56 / $1,270.71 / $1,804.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.68 / $1,174.69 / $1,355.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.61 / $1,084.33 / $1,355.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,405.61 / $6,405.61 / $6,405.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.53 / $1,305.96 / $2,146.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.56 / $1,194.05 / $1,998.36