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New York rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.98 / $4,648.00 / $9,868.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.25 / $253.25 / $911.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $47.50 / $100.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.04 / $435.04 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.70 / $590.66 / $1,630.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $802.59 / $1,691.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.83 / $917.16 / $1,339.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.04 / $823.90 / $1,200.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.04 / $555.00 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.68 / $825.76 / $1,630.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.55 / $796.49 / $2,040.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.71 / $857.71 / $857.71
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.04 / $810.80 / $1,332.85