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New York 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
$1,224.05 / $4,663.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.17 / $1,210.52 / $2,342.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.16 / $1,001.52 / $2,280.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.33 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.33 / $1,322.33 / $1,322.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.03 / $1,064.03 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.76 / $1,638.87 / $3,656.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,576.89 / $2,707.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.11 / $1,270.27 / $1,901.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.42 / $1,128.00 / $1,706.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,064.03 / $5,246.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.99 / $1,605.06 / $3,552.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.35 / $1,129.30 / $2,618.94
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.14 / $1,245.14 / $3,118.10
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.98 / $1,245.14 / $1,975.23