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Massachusetts 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
$1,092.50 / $2,733.00 / $4,806.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $5,268.00 / $15,220.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.34 / $1,691.02 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00