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Virginia rates for HCPCS 53405

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

Facilitymedian $3,548 · 10th–90th $977$9,7720%5%10%10th90th$3,548Professionalmedian $1,023 · 10th–90th $832$2,1880%10%20%10th90th$1,023$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,000.00 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,096.48 / $1,584.89
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $3,311.31 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,122.02 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $912.01 / $2,344.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,412.54 / $2,041.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,230.27 / $1,819.70
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,174.90 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,174.90 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,511.38 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,096.48 / $1,778.28