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Arizona 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
$1,671.00 / $3,745.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.95 / $1,082.81 / $6,117.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00