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California rates for HCPCS 54322

1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $7,000.00 / $20,452.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.41 / $866.94 / $4,117.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.98 / $1,175.68 / $2,291.27
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,263.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.17 / $844.92 / $2,069.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.14 / $2,471.35 / $5,822.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.86 / $1,025.33 / $3,063.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $874.49 / $1,276.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.35 / $1,005.66 / $1,805.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.32 / $9,388.90 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,692.00 / $5,818.24 / $6,501.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.43 / $1,076.49 / $1,474.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.20 / $1,034.51 / $2,221.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.89 / $2,554.89 / $2,554.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $970.83 / $1,276.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,759.00 / $22,073.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.24 / $925.81 / $2,624.88