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Removing a Urethral Pouch in a Male

Illinois 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 $3,090 · 10th–90th $1,023$8,5110%5%10%10th90th$3,090Professionalmedian $776 · 10th–90th $589$1,5140%20%10th90th$776$50.0$200.0$1.0K$5.0K$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
$1,000.00
Median
$2,884.03
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$870.96
Typical High
$1,288.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$2,818.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,570.88
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,348.96