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Massachusetts rates for HCPCS 53420

Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage

Facilitymedian $3,311 · 10th–90th $871–$6,6070%5%10%10th90th$3,311Professionalmedian $1,047 · 10th–90th $776–$2,3990%10%20%10th90th$1,047$100.0$500.0$2.0K$10.0K$50.0K

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
$1,778.28 / $3,311.31 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $912.01 / $2,344.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,456.54 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,230.27 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,288.25 / $2,951.21
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $933.25 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $831.76 / $1,230.27
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,380.38 / $2,398.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,456.54 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,230.27 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,248.07 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,318.26 / $3,388.44