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Michigan 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
$933.25 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $1,584.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,041.74 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $977.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,964.78 / $22,908.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,258.93