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Maryland rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.92 / $645.09 / $698.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.00 / $2,675.00 / $2,675.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.22 / $234.95 / $1,123.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.73 / $240.96 / $284.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.46 / $866.26 / $1,651.74