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Alaska rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.87 / $3,745.04 / $5,355.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.87 / $3,745.04 / $5,355.41