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Minnesota 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
$758.70 / $758.70 / $5,596.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,696.09 / $11,540.50 / $22,684.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.10 / $2,732.87 / $6,574.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.59 / $2,498.50 / $5,176.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.66 / $1,605.84 / $9,255.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00