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Removing a Urethral Pouch in a Male

Nebraska 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 $7,586 · 10th–90th $1,479$14,4540%10%20%10th90th$7,586Professionalmedian $871 · 10th–90th $589$3,3880%20%10th90th$871$5.0$20.0$100.0$500.0$2.0K$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
$4,265.80
Median
$7,585.78
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$676.08
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,589.25
Typical High
$24,547.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,479.11
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$1,023.29
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,606.93
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,584.89