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Virginia rates for HCPCS 53621

Dilation of urethral stricture by passage of filiform and follower, male; subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $128.82 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $147.91 / $257.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $257.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $204.17 / $416.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $371.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $147.91 / $263.03
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $97.72 / $1,659.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $190.55 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $125.89 / $234.42