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California rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.00 / $6,218.00 / $17,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.23 / $985.27 / $4,598.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $6,048.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.32 / $1,312.00 / $2,579.27
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,521.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.99 / $950.27 / $2,333.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.25 / $1,141.03 / $3,486.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.47 / $976.42 / $1,318.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.98 / $1,122.88 / $1,991.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,216.56 / $14,302.50 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,359.36 / $6,500.16 / $7,261.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.82 / $1,176.59 / $1,726.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.92 / $1,152.14 / $2,480.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.27 / $2,853.27 / $2,853.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.47 / $886.91 / $1,116.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,244.00 / $9,713.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.14 / $1,134.90 / $2,931.04