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Massachusetts 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
$1,275.96 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.52 / $1,546.04 / $3,064.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,895.00 / $9,967.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.19 / $2,434.63 / $12,750.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.87 / $2,498.52 / $4,528.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,926.97 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.64 / $1,399.49 / $2,256.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.48 / $3,018.16 / $3,832.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.32 / $2,732.31 / $12,750.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.67 / $1,954.80 / $4,123.50