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Indiana rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.14 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.14 / $417.89 / $552.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $725.39 / $725.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.74 / $218.04 / $47,249.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.51 / $190.28 / $49,612.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.70 / $420.67 / $2,589.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.14 / $778.68 / $1,208.36