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Removing a Urethral Pouch in a Male

Louisiana 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 $2,570 · 10th–90th $832$6,1660%5%10th90th$2,570Professionalmedian $776 · 10th–90th $589$1,0960%10%20%10th90th$776$50.0$200.0$1.0K$5.0K

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
$758.58
Median
$2,041.74
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,495.41
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,047.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,951.21
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,174.90