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Arkansas 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
$1,012.35 / $1,397.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,166.25 / $3,166.25 / $3,166.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,314.00 / $5,626.00