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Missouri rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Facilitymedian $2,512 · 10th–90th $724–$5,6230%5%10%10th90th$2,512Professionalmedian $575 · 10th–90th $389–$1,0000%10%10th90th$575$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,235.94 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $562.34 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $537.03 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $380.19 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $954.99 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $870.96 / $1,258.93