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Virginia 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
$446.68 / $4,897.79 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $269.15 / $389.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $7,413.10 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $616.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $478.63 / $812.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $512.86 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,413.10 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $512.86 / $831.76