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Alaska rates for HCPCS 54390

Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,688.05 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,530.82 / $6,953.68 / $8,099.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,294.79 / $4,294.79 / $4,294.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.66 / $6,953.68 / $9,943.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,005.80 / $7,805.70 / $10,239.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,646.25 / $5,389.65 / $7,911.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.66 / $6,953.68 / $9,943.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.68 / $5,379.00 / $8,012.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,138.63 / $5,183.33 / $11,179.73