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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.19 / $1,138.19 / $6,530.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,242.16 / $13,880.76 / $26,057.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.35 / $1,879.04 / $2,505.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.23 / $2,854.81 / $3,803.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.72 / $2,162.56 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.04 / $2,879.62 / $12,343.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.00 / $2,834.57 / $3,803.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.08 / $2,705.22 / $3,782.36
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
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.63 / $2,736.21 / $3,457.64