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South Carolina 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
$7,943.28 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $776.25 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $724.44 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $1,047.13 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,548.82