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North Carolina 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
$1,211.31 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.31 / $1,211.31 / $2,180.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.93 / $2,464.79 / $3,153.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.76 / $2,017.65 / $3,190.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.31 / $1,634.74 / $3,066.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.74 / $1,634.74 / $3,066.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $2,127.10 / $3,069.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.92 / $1,690.46 / $3,456.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,979.02 / $9,877.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,316.00 / $12,750.38 / $12,750.38