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Ohio 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
$1,514.64 / $5,355.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.59 / $1,018.59 / $3,296.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $4,142.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.91 / $1,089.86 / $1,934.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.66 / $1,126.39 / $1,394.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.53 / $1,032.53 / $1,114.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.63 / $1,354.57 / $2,024.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.66 / $1,440.85 / $1,955.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $960.51 / $1,390.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.10 / $1,260.08 / $2,093.21