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Massachusetts rates for HCPCS 53451

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

Facilitymedian $3,388 · 10th–90th $813–$6,9180%10%10th90th$3,388Professionalmedian $891 · 10th–90th $692–$1,8620%10%20%10th90th$891$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $1,000.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $6,309.57 / $42,657.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,174.90 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $1,071.52 / $2,041.74
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $933.25 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $724.44 / $1,202.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,918.31 / $20,417.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,318.26 / $2,187.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $6,309.57 / $42,657.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,174.90 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $6,918.31 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,230.27 / $2,818.38