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Virginia 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
$1,409.28 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.31 / $1,409.28 / $1,575.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,604.05 / $10,127.70 / $14,105.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.95 / $1,451.35 / $1,990.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.84 / $1,662.17 / $2,893.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.15 / $1,665.51 / $3,088.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.90 / $1,411.08 / $1,740.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.64 / $1,666.74 / $2,493.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.00 / $1,767.65 / $2,885.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.10 / $1,675.77 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.10 / $1,675.77 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.53 / $1,747.12 / $2,730.74