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New Jersey rates for HCPCS 54318

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

Facilitymedian $6,918 · 10th–90th $4,365–$10,9650%10%20%10th90th$6,918Professionalmedian $813 · 10th–90th $617–$1,9050%10%10th90th$813$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $812.83 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,000.00 / $2,454.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $1,202.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,220.18 / $17,378.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $812.83 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,079.46 / $11,481.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $741.31 / $1,445.44