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Urethral Reconstruction, Longer Segment

Iowa rates for HCPCS 54324

This is a surgical repair used when the opening where urine exits the penis is not in its usual position, a condition present from birth. It reconstructs the urinary channel in a case where the segment needing repair is longer, which typically calls for a more extensive rebuilding of the passage. It is completed in a single operation rather than as part of a multi-stage approach.

Rates data updated July 2026.

Facilitymedian $5,012 · 10th–90th $1,778$9,7720%10%10th90th$5,012Professionalmedian $2,138 · 10th–90th $891$5,7540%10%10th90th$2,138$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,897.79
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,754.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,778.28
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,162.28
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,128.31
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,090.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,041.74