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Florida 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
$829.00 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.44 / $840.90 / $1,156.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $1,649.96 / $1,964.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.86 / $1,255.01 / $1,969.71
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.49 / $691.59 / $1,216.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.94 / $879.02 / $1,235.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.14 / $1,137.50 / $1,902.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.46 / $717.46 / $717.46