go back

Alaska rates for HCPCS 54336

1-Stage Perineal Hypospadias Repair Requiring Extensive Dissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube And/Or Island Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.70 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,258.32 / $6,645.70 / $7,755.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,107.79 / $4,107.79 / $4,107.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.04 / $6,645.70 / $9,503.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,878.03 / $7,473.90 / $9,791.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,448.75 / $5,160.55 / $7,587.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.04 / $6,645.70 / $9,503.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.43 / $5,152.50 / $7,677.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,002.89 / $4,957.64 / $10,692.95