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Arizona rates for HCPCS 53451

Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $891.25 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,471.29 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,513.56