go back

New Mexico 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
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.05 / $958.44 / $1,578.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.05 / $11,775.43 / $18,880.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.60 / $1,433.88 / $1,762.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $269.64 / $1,455.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.26 / $1,219.60 / $1,453.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.31 / $1,433.88 / $1,762.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.99 / $1,489.95 / $2,143.26