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Wisconsin rates for HCPCS 53415

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

Facilitymedian $10,471 · 10th–90th $4,677–$17,3780%5%10%10th90th$10,471Professionalmedian $2,570 · 10th–90th $1,318–$4,6770%10%10th90th$2,570$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
$1,122.02 / $2,290.87 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,388.44 / $5,370.32
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $4,265.80 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $7,585.78 / $15,848.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,570.40 / $4,677.35
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $14,454.40