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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.60 / $837.60 / $959.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.67 / $1,163.16 / $1,648.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.73 / $1,098.99 / $2,139.62