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Arkansas rates for HCPCS 53405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.00 / $1,295.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.21 / $1,180.41 / $1,284.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.14 / $1,164.89 / $1,164.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,166.25 / $3,166.25 / $3,166.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.00 / $1,380.10 / $1,638.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.98 / $945.16 / $1,681.47