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Ohio 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
$1,426.60 / $5,706.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.44 / $959.38 / $3,101.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,967.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.16 / $1,021.53 / $1,778.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.75 / $1,061.70 / $1,314.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.23 / $973.23 / $1,048.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.98 / $1,238.66 / $1,904.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.75 / $1,338.99 / $1,840.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $917.68 / $1,299.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.40 / $1,173.20 / $1,970.20