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Massachusetts rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Facilitymedian $3,236 · 10th–90th $813–$5,6230%5%10%10th90th$3,236Professionalmedian $955 · 10th–90th $724–$2,3990%10%20%10th90th$955$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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $912.01 / $2,187.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $5,623.41 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,230.27 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,230.27 / $2,818.38
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $912.01 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $794.33 / $1,174.90
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,348.96 / $2,290.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $5,623.41 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,230.27 / $8,511.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $2,951.21