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One-Stage Hypospadias Repair, Shorter Segment

Idaho rates for HCPCS 54322

This is a surgical repair, done in a single operation, for a condition present at birth in which the opening where urine exits the penis is not in its usual position. It reconstructs the urinary channel and corrects any associated curvature of the penis, for a case where the segment needing repair is shorter.

Facilitymedian $4,467 · 10th–90th $1,230$9,1200%10%10th90th$4,467Professionalmedian $1,023 · 10th–90th $776$1,5850%10%20%10th90th$1,023$50.0$200.0$1.0K$5.0K

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
$2,884.03
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,011.87
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,884.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,230.27
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,762.47
Typical High
$11,220.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$16,982.44
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,584.89