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Massachusetts rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.40 / $1,062.63 / $2,305.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $5,268.00 / $15,220.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.51 / $1,713.41 / $6,359.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.55 / $1,735.69 / $3,200.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.63 / $1,811.48 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.02 / $988.72 / $1,594.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.38 / $2,142.73 / $3,231.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,104.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.23 / $1,836.92 / $6,359.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.68 / $1,364.10 / $4,105.09