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Alaska rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,328.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,812.01 / $2,812.01 / $2,812.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $2,812.01 / $3,936.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.25 / $1,568.70 / $4,114.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $2,812.01 / $3,936.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $2,805.00 / $4,170.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.74 / $2,525.34 / $3,875.59