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Louisiana 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
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.41 / $1,102.73 / $1,222.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.30 / $5,782.03 / $9,050.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.72 / $1,139.82 / $1,423.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.95 / $1,014.41 / $1,356.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.66 / $989.72 / $1,889.45