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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.22 / $1,109.22 / $1,270.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.49 / $1,568.61 / $2,183.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.16 / $1,440.13 / $2,831.82