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Arkansas 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
$1,083.00 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.61 / $1,237.14 / $1,341.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.37 / $1,248.58 / $1,248.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.11 / $3,520.11 / $3,520.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.22 / $1,560.00 / $1,756.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.10 / $1,341.82 / $1,806.92