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New York 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
$1,071.52 / $4,073.80 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $912.01 / $2,754.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $12,302.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $2,570.40