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Virginia rates for HCPCS 53405

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.10 / $3,645.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.21 / $991.10 / $1,108.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.58 / $1,023.77 / $1,404.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.34 / $1,386.39 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.10 / $1,171.30 / $2,172.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.92 / $995.90 / $1,228.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.49 / $1,216.34 / $1,697.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.00 / $1,218.00 / $2,035.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.83 / $1,178.51 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.83 / $1,178.51 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.31 / $1,159.24 / $1,901.87