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Texas 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
$831.76 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $40,738.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,290.87 / $7,079.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $389.05 / $3,162.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $489.78 / $954.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $676.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $380.19