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Nebraska rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.72 / $383.72 / $383.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,198.33 / $7,045.08 / $13,225.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.47 / $296.14 / $417.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.29 / $700.32 / $1,852.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.72 / $671.51 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.52 / $1,255.44 / $3,914.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.32 / $1,003.92 / $3,310.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.29 / $870.30 / $1,003.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.42 / $1,393.95 / $1,766.46