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Massachusetts 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
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.99 / $1,244.36 / $2,460.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $5,268.00 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.87 / $1,954.04 / $8,596.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.13 / $2,005.08 / $3,634.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.43 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.01 / $1,145.76 / $1,810.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.60 / $2,434.38 / $3,539.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.54 / $2,192.96 / $8,596.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.13 / $1,631.42 / $3,595.21