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Epispadias Repair With Bladder Exstrophy

Arkansas rates for HCPCS 54390

Reconstructive surgery on the penis for epispadias, a birth defect in which the urinary opening lies along the top of the penis instead of at the tip. This version is performed when the child also has bladder exstrophy, where the bladder is open onto the surface of the lower abdomen at birth, so the repair addresses both the penis and the bladder defect. It is major reconstructive surgery, usually done in stages during early childhood.

Facilitymedian $1,820 · 10th–90th $1,549$3,9810%20%10th90th$1,820Professionalmedian $1,413 · 10th–90th $1,122$1,7380%20%10th90th$1,413$500.0$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,737.80
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,073.80
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$2,344.23