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New York rates for HCPCS 54352

Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts

Facilitymedian $5,495 · 10th–90th $1,950$11,7490%5%10th90th$5,495Professionalmedian $1,778 · 10th–90th $1,230$4,5710%10%10th90th$1,778$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,677.35 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,819.70 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,479.11 / $3,548.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $4,786.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,511.89 / $6,456.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,570.40 / $4,897.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,778.28 / $2,630.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,862.09 / $3,019.95
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,905.46 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,495.41 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,862.09 / $4,570.88
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,862.09 / $4,897.79
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,862.09 / $4,570.88