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Later-Stage Hypospadias Repair Of The Penis

Georgia rates for HCPCS 54318

A later operation in a staged repair of hypospadias, a difference present from birth in which the opening for urine is not at the tip of the penis. In this stage the penis is freed from the scrotal skin it was joined to during the earlier surgery, and the skin is rearranged to give it a normal separate outline. It is done in childhood, weeks or months after the previous stage has healed.

Facilitymedian $4,571 · 10th–90th $1,259$7,4130%10%10th90th$4,571Professionalmedian $891 · 10th–90th $661$1,4130%20%10th90th$891$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$5,370.32
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,090.30
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,621.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,248.07
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,698.24