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Pennsylvania 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
$768.00 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.81 / $807.47 / $1,014.06
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.47 / $829.97 / $829.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.22 / $1,040.66 / $1,620.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.41 / $1,233.71 / $1,238.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $822.57 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,097.20 / $1,986.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.70 / $1,078.64 / $1,715.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.19 / $776.19 / $916.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.06 / $779.57 / $916.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.09 / $994.30 / $1,669.55