go back

Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.19 / $822.57 / $822.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.79 / $990.99 / $990.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.83 / $1,214.83 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.07 / $951.35 / $1,109.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.65 / $990.99 / $1,279.91
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.75 / $2,582.96 / $6,124.00