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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.28 / $964.59 / $4,939.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.74 / $868.98 / $1,086.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.45 / $1,133.48 / $2,062.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.28 / $1,364.62 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.40 / $1,095.15 / $9,714.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.79 / $1,029.42 / $1,896.31