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Missouri rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,351.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.51 / $486.95 / $611.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.16 / $710.58 / $1,190.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.35 / $451.72 / $1,217.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $726.48 / $5,200.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.07 / $1,095.99 / $3,914.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.77 / $888.53 / $1,446.11