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North Carolina 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
$913.80 / $6,735.00 / $8,293.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.80 / $913.80 / $2,126.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.18 / $1,926.50 / $2,387.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.66 / $1,559.35 / $2,531.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.80 / $1,281.33 / $2,316.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.33 / $1,281.33 / $2,317.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,566.60 / $2,321.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.58 / $1,351.62 / $2,585.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,446.20 / $9,388.90 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,714.00 / $9,714.00 / $9,714.00