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Maryland 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
$1,395.62 / $1,395.62 / $1,395.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.52 / $913.00 / $2,257.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.22 / $883.44 / $1,032.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.70 / $1,091.93 / $2,490.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.86 / $1,097.06 / $1,752.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.56 / $950.44 / $1,607.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.97 / $948.59 / $1,179.23