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Removing a Urethral Pouch in a Male

South Dakota 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 $1,479 · 10th–90th $603$4,3650%20%10th90th$1,479Professionalmedian $813 · 10th–90th $603$1,6980%20%10th90th$813$1.0K$2.0K$5.0K$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
$602.56
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$1,513.56