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Michigan rates for HCPCS 53452

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,370.32 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $8,709.64 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $588.84 / $794.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,244.36 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $660.69