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Florida 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
$1,049.99 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.52 / $1,111.92 / $1,533.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.90 / $1,640.46 / $2,596.61
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.99 / $916.07 / $1,611.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $1,126.20 / $1,648.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.83 / $1,475.01 / $2,524.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.04 / $949.04 / $949.04