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Oklahoma 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
$1,200.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.56 / $1,259.01 / $1,259.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.97 / $1,340.35 / $1,615.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.56 / $1,757.07 / $7,992.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.47 / $1,279.74 / $8,596.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $3,858.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.64 / $1,142.13 / $1,635.22