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Missouri 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
$1,760.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.48 / $1,359.21 / $1,673.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.69 / $1,541.01 / $2,437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.03 / $1,764.61 / $3,111.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.92 / $2,090.23 / $4,553.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.68 / $2,200.61 / $10,273.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.25 / $1,594.45 / $3,259.25