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Removing a Urethral Pouch in a Male

Kansas 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 $3,890 · 10th–90th $1,445$9,5500%10%10th90th$3,890Professionalmedian $813 · 10th–90th $575$1,3490%10%20%10th90th$813$200.0$500.0$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
$1,513.56
Median
$4,570.88
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,071.52