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Pennsylvania 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
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $2,398.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,819.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,412.54
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $1,819.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $3,090.30
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,089.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,318.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,862.09