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New Jersey rates for HCPCS 54322

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

Facilitymedian $6,918 · 10th–90th $4,467–$10,9650%10%10th90th$6,918Professionalmedian $891 · 10th–90th $676–$2,0890%10%10th90th$891$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
$707.95 / $891.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,122.02 / $2,691.53
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $1,318.26
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
$630.96 / $891.25 / $1,949.84
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
$489.78 / $812.83 / $1,548.82