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Indiana 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
$916.30 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.30 / $917.56 / $1,221.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.72 / $1,168.41 / $1,659.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.71 / $1,107.18 / $1,277.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.68 / $1,022.02 / $1,277.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.69 / $1,206.56 / $2,141.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.91 / $1,065.15 / $1,852.44