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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.00 / $1,325.01 / $1,872.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.75 / $1,610.65 / $1,798.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.11 / $1,625.77 / $2,045.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.75 / $1,590.65 / $1,817.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,311.21 / $1,649.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,284.43 / $8,724.34 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.11 / $1,428.11 / $1,752.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.67 / $1,398.07 / $2,004.67