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Illinois 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
$933.25 / $2,570.40 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $7,762.47 / $19,054.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $3,548.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $9,772.37