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Virginia 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
$907.15 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.66 / $915.19 / $1,128.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.55 / $1,113.33 / $1,559.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.97 / $1,075.43 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00