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Pennsylvania 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.00 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.98 / $1,446.18 / $1,995.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.75 / $1,460.88 / $1,460.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.61 / $1,842.61 / $2,875.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.41 / $2,163.27 / $2,168.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.98 / $1,512.46 / $4,671.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,944.50 / $3,491.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.48 / $1,844.76 / $3,156.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.47 / $1,370.47 / $1,755.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.92 / $1,378.25 / $1,755.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.85 / $1,740.73 / $2,909.66