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Alaska rates for HCPCS 53240

Marsupialization of urethral diverticulum, male or female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.54 / $1,978.54 / $2,733.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.08 / $1,444.08 / $1,444.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.17 / $1,978.54 / $2,829.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.95 / $2,700.60 / $3,481.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.50 / $1,864.70 / $2,710.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.17 / $1,978.54 / $2,829.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.29 / $1,833.00 / $2,738.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,897.94 / $6,897.94 / $6,897.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.72 / $1,732.89 / $2,675.08