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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.52 / $925.91 / $1,195.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.32 / $976.84 / $976.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.32 / $1,217.66 / $1,918.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.83 / $1,449.81 / $1,454.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $37,447.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $4,070.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.52 / $1,015.74 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,248.30 / $2,334.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.44 / $1,227.58 / $2,038.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.48 / $914.48 / $1,058.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.70 / $919.02 / $1,058.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.29 / $1,204.16 / $1,926.40