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Utah rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $616.60 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $616.60 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $288.40 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $707.95 / $1,174.90