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Missouri 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
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $436.52 / $707.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,023.29 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,818.38 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $870.96