go back

Virginia rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.41 / $5,087.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.88 / $476.41 / $520.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.07 / $497.54 / $682.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.38 / $623.35 / $916.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.51 / $603.36 / $1,043.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.38 / $484.06 / $597.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.43 / $584.69 / $871.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.00 / $632.10 / $989.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.55 / $576.85 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.55 / $576.85 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.92 / $615.35 / $927.38