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New York 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

Facilitymedian $4,571 · 10th–90th $1,318–$9,7720%5%10th90th$4,571Professionalmedian $1,202 · 10th–90th $832–$2,9510%10%10th90th$1,202$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $4,265.80 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,230.27 / $3,467.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $977.24 / $2,344.23
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,659.59 / $4,168.69
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,513.56 / $3,235.94
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,202.26 / $1,778.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,288.25 / $1,995.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,309.57 / $6,606.93
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,258.93 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,897.79 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,230.27 / $3,019.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $3,162.28
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $2,570.40