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Wyoming rates for HCPCS 54390

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.26 / $1,240.26 / $1,240.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.00 / $2,684.00 / $3,918.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.76 / $2,073.02 / $2,905.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.00 / $3,102.54 / $4,906.45