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Removing a Urethral Pouch in a Male

Oklahoma 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 $3,388 · 10th–90th $933$6,7610%10%10th90th$3,388Professionalmedian $724 · 10th–90th $589$1,0230%20%10th90th$724$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
$1,000.00
Median
$3,467.37
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$831.76
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,995.26
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,311.31
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$1,000.00