go back

New Hampshire 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
$100.00 / $4,768.46 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.96 / $2,123.30 / $4,768.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $9,734.34 / $16,970.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.28 / $2,348.21 / $3,640.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.30 / $2,661.74 / $4,067.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.41 / $2,730.52 / $4,534.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.86 / $2,093.71 / $6,683.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.72 / $1,068.89 / $1,360.41