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Massachusetts rates for HCPCS 53405

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

Facilitymedian $2,818 · 10th–90th $891–$5,6230%10%10th90th$2,818Professionalmedian $1,072 · 10th–90th $813–$2,6300%10%20%10th90th$1,072$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $933.25 / $2,630.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $6,456.54 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,288.25 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,318.26 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $977.24 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $851.14 / $1,288.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,445.44 / $2,454.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $6,456.54 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,288.25 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,248.07 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,348.96 / $3,548.13