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Arkansas 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
$1,277.00 / $1,698.03 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.14 / $1,635.80 / $1,736.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.84 / $1,652.90 / $1,652.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.31 / $2,105.00 / $2,329.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,920.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.98 / $1,333.00 / $2,394.98