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North Carolina rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.60 / $1,398.18 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.60 / $851.60 / $1,500.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.70 / $1,604.59 / $2,483.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.48 / $1,449.31 / $2,333.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.60 / $1,195.60 / $2,161.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.60 / $1,195.60 / $2,158.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,417.10 / $2,165.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.11 / $1,193.07 / $2,593.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,216.56 / $14,302.50 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,359.36 / $6,359.36 / $7,261.80