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Louisiana rates for HCPCS 53405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.92 / $1,372.77 / $1,473.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,084.36 / $6,944.51 / $10,169.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.16 / $1,231.07 / $1,591.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.34 / $1,127.52 / $1,515.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.32 / $1,115.91 / $1,836.76