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Michigan rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.14 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.05 / $543.14 / $557.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.50 / $2,015.50 / $2,015.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.21 / $2,116.28 / $3,708.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.26 / $296.16 / $451.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,877.00 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.59 / $543.14 / $809.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $852.36 / $1,142.65