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Texas rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Facilitymedian $3,311 · 10th–90th $955$12,0230%10%10th90th$3,311Professionalmedian $912 · 10th–90th $724$1,4790%20%10th90th$912$5.0$20.0$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
$912.01 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $912.01 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,162.28 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $758.58 / $1,174.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,071.52 / $1,737.80
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $8,511.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,230.27 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,071.52 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $1,737.80 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,047.13 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,071.52 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,365.16 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $1,412.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $741.31 / $741.31