go back

Maine rates for HCPCS 54324

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Urethroplasty By Local Skin Flaps (Eg, Flip-Flap, Prepucial Flap)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,402.55 / $4,402.55 / $7,718.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.47 / $965.62 / $1,689.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.04 / $1,285.68 / $2,029.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.78 / $1,447.27 / $2,073.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.72 / $1,385.44 / $2,125.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,402.55 / $4,402.55 / $7,718.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.47 / $965.62 / $1,793.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.72 / $1,414.40 / $1,917.27