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Removal Of The Urethra In A Male Patient

Wisconsin rates for HCPCS 53215

Removes the entire urethra, the tube that carries urine out of the body, in a male patient. The surgeon also creates an opening from the bladder through the lower abdomen so urine has a route out. It is done for cancer or severe destruction of the urethra.

Facilitymedian $9,120 · 10th–90th $4,677$16,9820%5%10%10th90th$9,120Professionalmedian $2,089 · 10th–90th $1,072$3,8900%10%10th90th$2,089$1.0K$2.0K$5.0K$10.0K$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
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,905.46
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$4,466.84
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,248.07
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,623.41
Typical High
$8,709.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$5,754.40
Typical High
$7,762.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$3,890.45
Quartz
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$14,454.40
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,585.78
Typical High
$9,772.37