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Pennsylvania rates for HCPCS 53431

Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.08 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.08 / $1,146.19 / $1,461.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.08 / $1,192.44 / $1,192.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.08 / $1,485.13 / $2,339.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.82 / $1,767.16 / $1,771.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.08 / $1,221.71 / $2,954.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,257.90 / $2,846.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.57 / $1,498.94 / $2,441.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.52 / $1,117.28 / $1,117.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.52 / $1,117.28 / $1,167.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,311.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.56 / $1,412.29 / $2,326.27