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Maine rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.07 / $784.07 / $911.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $100.56 / $139.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.89 / $342.60 / $1,030.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.81 / $259.92 / $398.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.07 / $784.07 / $911.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.14 / $899.33 / $1,085.40