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Alaska rates for HCPCS 53405

Urethroplasty; second stage (formation of urethra), including urinary diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,589.23 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,094.86 / $4,094.86 / $5,681.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,009.46 / $3,009.46 / $3,009.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.35 / $4,094.86 / $5,855.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.13 / $5,508.30 / $7,192.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,278.75 / $3,803.35 / $5,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.35 / $4,094.86 / $5,855.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.33 / $3,783.00 / $5,635.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.42 / $3,611.37 / $5,560.25