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Ohio rates for HCPCS 53240

Marsupialization of urethral diverticulum, male or female

Facilitymedian $3,467 · 10th–90th $813$10,7150%10%10th90th$3,467Professionalmedian $479 · 10th–90th $380$2,4550%20%40%10th90th$479$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,630.78 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,090.30 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $467.74 / $812.83
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $426.58 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $549.54 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $562.34 / $851.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $562.34 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $4,365.16
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,754.40 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $758.58