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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.23 / $859.23 / $4,939.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,242.16 / $13,880.76 / $26,057.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.23 / $1,420.28 / $1,893.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.35 / $2,157.80 / $2,870.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.54 / $1,632.54 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.20 / $2,173.85 / $9,714.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $2,212.67 / $3,145.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.51 / $2,045.12 / $2,855.28
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
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.23 / $2,097.71 / $2,614.21