go back

Wisconsin rates for HCPCS 54390

Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder

Facilitymedian $8,318 · 10th–90th $4,467$14,1250%10%10th90th$8,318Professionalmedian $1,738 · 10th–90th $1,202$4,8980%10%10th90th$1,738$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,511.89 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,380.38 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $14,125.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,344.23 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,715.35 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,890.45 / $4,466.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $4,168.69 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,019.95 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $7,585.78 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,344.23 / $6,606.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,698.24
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,090.30 / $4,073.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,818.38 / $3,981.07
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $9,772.37 / $9,772.37
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $6,025.60 / $12,882.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,187.76 / $5,495.41