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Virginia 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
$1,282.55 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.10 / $1,282.93 / $1,582.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.52 / $1,574.05 / $2,186.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.16 / $1,525.07 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00