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Removing a Urethral Pouch in a Male

Arkansas rates for HCPCS 53235

Removes an abnormal pouch that has formed off the urethra, the tube that carries urine out of the body, in a male patient. The pouch traps urine and causes infection, dribbling, or pain; it is cut away and the urethra is repaired around the opening.

Facilitymedian $1,698 · 10th–90th $851$4,7860%10%10th90th$1,698Professionalmedian $724 · 10th–90th $589$1,0000%10%20%10th90th$724$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$831.76
Median
$1,412.54
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,398.83
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$1,202.26