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Virginia rates for HCPCS 53451

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

Facilitymedian $5,248 · 10th–90th $813–$17,7830%10%20%10th90th$5,248Professionalmedian $832 · 10th–90th $692–$1,9500%50%10th90th$832$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$831.76 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $38,018.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $407.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $18,197.01 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $891.25 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $776.25 / $954.99
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $870.96 / $1,380.38
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $15,135.61
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $17,782.79 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,047.13 / $1,621.81