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Tennessee rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.71 / $2,395.11 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.71 / $1,074.04 / $1,164.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $4,657.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.61 / $1,095.51 / $1,974.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.91 / $1,219.84 / $1,919.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,216.56 / $14,302.50 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,359.36 / $6,500.16 / $7,261.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.44 / $1,187.52 / $1,993.96