go back

West 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
$1,257.33 / $1,257.33 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.34 / $1,270.52 / $1,410.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.61 / $1,462.22 / $1,593.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.11 / $1,416.11 / $1,416.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.58 / $1,409.58 / $1,409.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.29 / $1,770.13 / $12,343.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.96 / $1,452.69 / $2,109.75