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California rates for HCPCS 53415

Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.41 / $9,690.00 / $21,960.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.00 / $9,830.00 / $20,270.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,717.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.26 / $1,250.86 / $1,501.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.55 / $1,439.44 / $2,607.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,144.52 / $5,522.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.53 / $1,511.46 / $2,106.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,377.00 / $26,672.00