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Virginia rates for HCPCS 53449

Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $2,630.27 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $1,698.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,258.93
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $831.76 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61