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Connecticut 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
$1,758.61 / $6,805.10 / $9,583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.89 / $1,474.09 / $2,317.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,804.00 / $8,873.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.67 / $1,952.81 / $2,358.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.60 / $1,467.54 / $2,957.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.92 / $1,546.25 / $1,546.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.67 / $1,630.15 / $5,150.60