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Virginia rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $645.65 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $38.90 / $100.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,677.35 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $524.81 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $676.08 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $831.76 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $831.76 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,412.54