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One-Stage Hypospadias Repair With Skin Flaps

Washington, DC rates for HCPCS 54326

Surgery in a boy whose urine channel opens on the underside of the penis instead of at the tip. In a single operation the surgeon builds the missing part of the channel using flaps of nearby skin and frees the existing channel so it can be brought into a better position.

Facilitymedian $4,074 · 10th–90th $1,698$7,7620%10%10th90th$4,074Professionalmedian $1,122 · 10th–90th $955$3,0900%20%10th90th$1,122$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
$1,698.24
Median
$4,073.80
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$3,090.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$6,918.31
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$2,691.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$10,000.00
Typical High
$26,915.35
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,691.53