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Missouri rates for HCPCS 53405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,351.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.71 / $992.36 / $1,013.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.51 / $1,059.59 / $1,643.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.32 / $1,243.49 / $2,282.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.65 / $1,661.32 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.31 / $1,588.84 / $6,500.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.18 / $1,214.09 / $2,383.16