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Georgia 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
$1,277.28 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.08 / $1,520.95 / $2,698.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.47 / $4,431.64 / $10,456.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.73 / $1,707.62 / $3,202.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.63 / $2,080.23 / $3,453.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.61 / $1,576.41 / $3,346.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.04 / $1,782.73 / $2,971.81