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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.66 / $973.05 / $1,643.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.90 / $1,245.50 / $2,103.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.74 / $336.74 / $336.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,095.97 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,140.73 / $31,835.11 / $40,113.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.46 / $1,132.46 / $1,144.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $24,599.00 / $65,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.36 / $1,094.99 / $1,620.60