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Tennessee rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.22 / $701.15 / $821.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,549.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.02 / $780.71 / $1,360.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.11 / $439.23 / $1,819.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,388.90 / $9,388.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,914.08 / $3,914.08 / $3,914.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.10 / $852.98 / $1,370.37