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Maryland rates for HCPCS 54390

Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.28 / $1,410.11 / $3,495.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.84 / $1,484.08 / $1,696.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.95 / $1,673.44 / $3,849.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.00 / $1,694.42 / $2,709.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.33 / $1,449.03 / $2,494.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.82 / $1,465.10 / $1,822.16