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New Jersey 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
$1,183.47 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.14 / $1,270.52 / $2,085.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.76 / $1,923.26 / $3,979.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.83 / $1,909.75 / $2,275.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.28 / $1,354.74 / $2,557.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.26 / $1,317.07 / $2,808.35