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New York 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
$1,348.96 / $4,073.80 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $2,511.89
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,862.09 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $4,466.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $3,467.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,778.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $2,454.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,318.26 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $3,019.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $3,388.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $3,162.28