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Massachusetts rates for HCPCS 54385

Plastic operation on penis for epispadias distal to external sphincter; with incontinence

Facilitymedian $3,236 · 10th–90th $1,047$5,6230%10%10th90th$3,236Professionalmedian $1,148 · 10th–90th $851$2,7540%10%20%10th90th$1,148$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
$851.14 / $1,071.52 / $2,511.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,011.87 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,479.11 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,412.54 / $3,235.94
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,071.52 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $912.01 / $1,380.38
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
$870.96 / $1,584.89 / $2,630.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,011.87 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,479.11 / $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
$1,023.29 / $1,584.89 / $3,467.37