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Rhode Island 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
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.78 / $1,044.25 / $1,240.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.90 / $1,155.18 / $1,836.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,261.24 / $1,983.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.88 / $1,087.27 / $2,032.43