go back

Nebraska rates for HCPCS 53400

Urethroplasty 1st Stg Fistula/Diverticulum/Strix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $9,248.33 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,751.95 / $13,216.42 / $24,810.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.85 / $1,396.73 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $1,883.89 / $4,791.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00