go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$936.46 / $936.46 / $936.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.00 / $2,029.00 / $2,962.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.73 / $1,567.76 / $2,238.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.24 / $1,886.90 / $3,670.94