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Nebraska rates for HCPCS 53405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.04 / $802.04 / $1,917.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,751.95 / $13,216.42 / $24,810.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.59 / $1,325.44 / $1,767.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.42 / $2,013.72 / $2,676.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.73 / $1,523.88 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.94 / $2,029.16 / $6,500.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.00 / $2,058.05 / $4,791.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.00 / $1,909.01 / $2,661.31
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
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.82 / $1,952.25 / $2,390.12