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Virginia 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
$85.56 / $588.91 / $851.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $335.46 / $882.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.91 / $140.21 / $4,284.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.66 / $515.37 / $1,355.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.49 / $709.84 / $887.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.00 / $1,044.00 / $1,588.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.40 / $980.24 / $1,783.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.90 / $1,012.61 / $1,606.94