go back

Maine rates for HCPCS 54326

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.69 / $941.69 / $1,613.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.82 / $1,255.20 / $1,975.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.18 / $1,408.65 / $2,018.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.21 / $1,348.71 / $2,069.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.69 / $941.69 / $1,613.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.41 / $1,340.74 / $1,866.93