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Oregon 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
$2,482.86 / $3,037.25 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.69 / $1,752.18 / $6,530.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.18 / $2,672.39 / $3,631.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.20 / $2,819.76 / $3,174.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.18 / $2,629.58 / $3,767.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.85 / $2,203.65 / $3,943.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.93 / $2,351.44 / $2,474.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.18 / $2,773.24 / $3,440.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.96 / $2,892.80 / $3,631.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,647.40 / $6,647.40 / $6,647.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.69 / $3,030.11 / $3,873.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.58 / $2,728.40 / $3,886.42