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California 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
$2,387.00 / $6,880.00 / $18,483.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,166.00 / $15,328.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,551.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $900.22 / $1,215.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.92 / $1,035.25 / $1,867.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,956.56 / $14,302.50 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.17 / $1,034.15 / $1,442.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,244.00 / $9,707.00 / $21,278.00