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Wisconsin rates for HCPCS 54348

Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,905.46 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $3,235.94 / $3,630.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $6,918.31 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,905.46 / $7,762.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,290.87 / $3,162.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,454.40 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $7,762.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $4,365.16