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Alaska rates for HCPCS 54328

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Extensive Dissection To Correct Chordee And Urethroplasty With Local Skin Flaps, Skin Graft Patch, And/Or Island Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,939.21 / $5,235.12 / $6,113.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.12 / $3,235.12 / $3,235.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.05 / $5,235.12 / $7,486.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.35 / $5,901.00 / $7,715.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,512.50 / $4,074.50 / $5,990.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.05 / $5,235.12 / $7,486.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.58 / $4,063.50 / $6,058.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.68 / $2,601.50 / $8,421.29