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One-Stage Hypospadias Repair With Skin Flaps

Illinois 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 $3,020 · 10th–90th $1,122$8,5110%5%10%10th90th$3,020Professionalmedian $1,148 · 10th–90th $891$2,2390%10%20%10th90th$1,148$50.0$200.0$1.0K$5.0K$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
$1,047.13
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$20,892.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$1,288.25
Typical High
$1,949.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$5,495.41
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,365.16
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,041.74