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Montana rates for HCPCS 53520

Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)

Facilitymedian $977 · 10th–90th $933–$1,1480%50%10th90th$977Professionalmedian $724 · 10th–90th $575–$1,4450%10%20%10th90th$724$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $891.25 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $977.24 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $977.24 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $812.83 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $630.96 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $954.99 / $1,513.56