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Pennsylvania 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
$832.00 / $3,838.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.83 / $940.17 / $1,325.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.27 / $970.56 / $970.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.45 / $1,209.79 / $1,905.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.99 / $1,440.82 / $1,445.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,314.29 / $13,547.74 / $19,353.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $4,068.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.39 / $964.59 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.70 / $1,434.90 / $2,321.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.34 / $1,219.66 / $1,980.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.50 / $908.50 / $1,073.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.90 / $913.02 / $1,073.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.27 / $1,186.41 / $1,913.59