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Maine rates for HCPCS 53452

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $630.96 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $851.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $977.24