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Alabama 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
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.08 / $1,881.26 / $1,881.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,249.76 / $5,157.29 / $6,938.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.49 / $1,713.00 / $2,021.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.58 / $1,503.26 / $3,995.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $3,816.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.63 / $1,279.59 / $1,987.87