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Arizona rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.50 / $3,617.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.65 / $828.27 / $4,212.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.87 / $743.82 / $929.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.59 / $969.19 / $1,755.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.65 / $1,074.07 / $5,757.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.60 / $947.60 / $8,255.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.00 / $878.94 / $1,528.11