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Indiana 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
$765.52 / $4,557.50 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.41 / $765.52 / $992.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.06 / $997.58 / $1,398.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.73 / $924.95 / $1,067.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.50 / $853.80 / $1,067.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.06 / $1,042.57 / $1,637.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.24 / $940.68 / $1,671.52