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Simple Repair Of A Prior Hypospadias Surgery Complication

Maine rates for HCPCS 54340

This procedure repairs a complication, such as an abnormal opening or narrowing, that developed after an earlier surgery to correct hypospadias, a condition present at birth affecting the location of the urinary opening. This version addresses the problem using a relatively straightforward surgical technique. It is typically performed when the complication is limited in size and does not require extensive tissue reconstruction.

Rates data updated July 2026.

How much does Simple Repair Of A Prior Hypospadias Surgery Complication cost?

$759

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $646 to $955.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $7,244 to $7,244Professionalmedian $759 · 10th to 90th $562 to $1,096
$1K$2K$5Kfacility $7,244professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,288.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,288.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,445.44

Where Maine sits

The same service costs 10.7 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 43rd of 51

$759

CA $6,310WV $589

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.