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Maine 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
$993.45 / $993.45 / $1,770.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.67 / $1,325.24 / $2,081.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.76 / $1,487.09 / $2,130.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.49 / $1,421.21 / $2,180.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.45 / $993.45 / $1,770.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.89 / $1,477.90 / $1,968.31