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Arizona rates for HCPCS 53405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,901.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.14 / $890.16 / $4,598.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.79 / $721.07 / $901.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $1,057.83 / $1,918.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.86 / $1,226.33 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.36 / $1,015.14 / $6,500.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.82 / $958.36 / $1,729.82