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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
$831.76 / $831.76 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,332.54 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,884.03 / $4,365.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,235.94 / $6,309.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,949.84 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $3,548.13