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Tennessee 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
$1,821.00 / $3,458.28 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.08 / $1,550.80 / $1,809.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,344.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.50 / $1,578.51 / $2,543.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.94 / $1,735.84 / $2,730.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,877.56 / $10,098.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,316.00 / $12,343.06 / $12,750.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.89 / $1,847.74 / $3,028.86