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Maryland rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.28 / $947.86 / $4,598.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.34 / $962.77 / $1,100.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.54 / $1,175.61 / $2,714.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.44 / $1,196.26 / $1,912.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.32 / $1,068.65 / $1,755.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.32 / $1,034.35 / $1,286.03