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Texas 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
$797.00 / $3,213.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.43 / $6,406.00 / $12,610.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.07 / $711.07 / $711.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.99 / $1,012.47 / $1,767.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.99 / $1,027.95 / $2,026.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00