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Ohio rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Facilitymedian $5,248 · 10th–90th $1,514–$11,4820%5%10%10th90th$5,248$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $5,888.44 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,548.13 / $16,982.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $812.83 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,023.29 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,754.40 / $10,471.29