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Massachusetts rates for HCPCS 54318

Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair)

Facilitymedian $3,311 · 10th–90th $741–$5,8880%5%10%10th90th$3,311Professionalmedian $891 · 10th–90th $646–$2,1380%10%20%10th90th$891$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $1,949.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,888.44 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,096.48 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,096.48 / $2,511.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $812.83 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $707.95 / $1,071.52
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,202.26 / $2,041.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,888.44 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,096.48 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,174.90 / $2,691.53