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Washington 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
$81.28 / $524.81 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $275.42 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $977.24 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $281.84 / $1,737.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $707.95 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $660.69 / $1,737.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $134.90 / $954.99