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Georgia 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
$1,617.18 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.33 / $1,156.10 / $2,126.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.89 / $2,987.00 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.97 / $1,298.72 / $2,417.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.96 / $2,090.96 / $2,090.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.02 / $1,571.46 / $2,662.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.54 / $1,191.50 / $2,637.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.79 / $1,396.81 / $2,185.96