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Minnesota 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
$840.63 / $840.63 / $6,955.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.63 / $941.80 / $1,540.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.39 / $8,041.59 / $16,510.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.78 / $2,423.04 / $3,399.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.84 / $3,189.14 / $7,671.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.66 / $3,074.73 / $4,387.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.15 / $2,915.64 / $6,040.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.97 / $2,755.13 / $3,651.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.40 / $1,870.35 / $9,793.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.51 / $2,441.07 / $3,773.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.08 / $2,322.42 / $3,763.82