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Maryland 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
$3,335.71 / $3,335.71 / $6,857.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.59 / $1,066.25 / $2,640.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.70 / $1,032.45 / $1,325.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.34 / $1,258.53 / $2,910.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.46 / $1,281.40 / $2,050.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.67 / $1,147.33 / $2,379.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.59 / $1,107.98 / $1,377.66