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Missouri 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
$1,687.00 / $3,697.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.60 / $1,085.59 / $2,671.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.35 / $1,139.97 / $1,912.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.60 / $1,337.19 / $2,454.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.98 / $1,971.01 / $22,240.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.67 / $1,735.04 / $9,714.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.85 / $1,235.64 / $2,929.43