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California rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $581.28 / $3,014.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.40 / $683.21 / $1,744.67
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.35 / $327.14 / $1,276.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.16 / $717.08 / $2,119.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.68 / $722.41 / $1,120.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.54 / $530.28 / $1,174.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.73 / $4,448.24 / $5,244.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.52 / $756.06 / $1,955.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.52 / $268.52 / $2,516.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.31 / $759.18 / $1,083.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.03 / $843.60 / $2,566.75