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Tennessee 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
$913.33 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.33 / $1,187.69 / $1,597.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.00 / $4,002.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.32 / $1,193.46 / $1,940.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.94 / $1,311.64 / $2,059.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,446.20 / $9,388.90 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,714.00 / $9,714.00 / $9,714.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.73 / $1,414.73 / $2,100.44