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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.60 / $1,571.18 / $1,571.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.30 / $1,672.15 / $1,979.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.60 / $1,976.79 / $8,124.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.30 / $1,588.63 / $12,343.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.33 / $1,426.22 / $2,374.80