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Oregon rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.65 / $5,649.00 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.20 / $1,137.40 / $4,598.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.59 / $1,883.82 / $2,561.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.66 / $1,994.04 / $2,245.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.40 / $1,773.78 / $2,445.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.09 / $1,522.80 / $2,782.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.66 / $1,653.22 / $1,745.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.40 / $2,113.17 / $3,274.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.90 / $2,001.85 / $2,561.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,927.24 / $16,067.82 / $19,370.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.70 / $2,137.40 / $2,732.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.66 / $2,008.45 / $2,739.55