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New Mexico rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.64 / $665.66 / $796.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $559.04 / $1,079.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,006.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.25 / $253.25 / $253.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $566.82 / $1,079.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.20 / $1,025.75 / $1,473.35