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Missouri 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
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.35 / $1,138.58 / $1,404.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.35 / $1,228.83 / $2,030.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.94 / $1,423.83 / $2,609.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.46 / $1,961.99 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.30 / $1,842.96 / $8,596.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.16 / $1,349.79 / $3,113.31