go back

Maine 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
Professional
Modifier
Low / Median / High Price
$935.56 / $935.56 / $1,625.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.61 / $1,246.85 / $1,962.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.91 / $1,400.25 / $2,006.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.54 / $1,340.13 / $2,055.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.56 / $935.56 / $1,625.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.66 / $1,390.79 / $1,855.14