go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$1,024.72 / $1,131.33 / $2,802.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.08 / $1,096.34 / $1,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.18 / $5,040.18 / $5,040.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.61 / $1,370.30 / $3,090.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.46 / $1,358.54 / $2,176.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,229.00 / $2,229.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.02 / $1,167.64 / $2,424.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.81 / $1,174.68 / $1,460.99