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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.73 / $1,131.84 / $1,598.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.93 / $1,373.39 / $1,533.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.27 / $1,387.95 / $1,753.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.58 / $1,361.38 / $1,555.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,121.72 / $1,411.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.73 / $5,063.82 / $6,186.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.46 / $1,221.46 / $1,498.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.31 / $1,180.81 / $1,708.66