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New Jersey 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
$940.17 / $6,012.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.61 / $959.38 / $1,584.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.60 / $1,419.63 / $2,986.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.11 / $1,445.64 / $1,720.79
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,587.62 / $8,385.14 / $18,183.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.58 / $1,058.25 / $2,030.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.53 / $930.96 / $2,125.39