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New York rates for HCPCS 54385

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.01 / $4,442.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.91 / $1,204.01 / $1,788.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.87 / $989.38 / $2,386.31
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.20 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.20 / $1,313.20 / $1,313.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.80 / $1,057.80 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.96 / $1,650.29 / $3,634.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,125.00 / $2,381.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.09 / $1,291.19 / $1,890.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.06 / $1,121.91 / $1,698.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,057.80 / $5,246.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.32 / $1,646.57 / $3,506.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,098.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.91 / $1,171.64 / $2,904.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.05 / $1,239.05 / $3,252.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.06 / $1,239.05 / $1,965.57