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Oklahoma 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
$1,184.60 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.25 / $1,184.60 / $1,184.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.27 / $10,251.95 / $16,323.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.91 / $1,217.91 / $1,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.20 / $1,261.79 / $1,488.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.26 / $1,628.80 / $9,232.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.90 / $1,193.43 / $9,714.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.47 / $1,077.09 / $1,539.73