go back

Maryland 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
$12,801.08 / $12,801.08 / $12,801.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.27 / $1,100.27 / $1,754.04