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Wisconsin rates for HCPCS 53453

Periurethral transperineal adjustable balloon continence device; removal, each balloon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.05 / $3,119.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.07 / $424.05 / $685.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.44 / $1,736.65 / $4,258.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.93 / $2,002.86 / $3,230.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.26 / $1,292.98 / $3,102.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.05 / $613.08 / $1,292.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.19 / $5,515.40 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.57 / $2,013.04 / $3,673.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.05 / $613.08 / $1,292.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.24 / $547.02 / $1,280.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.63 / $1,475.10 / $3,914.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.20 / $186.20 / $186.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.47 / $212.47 / $212.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.29 / $1,577.31 / $2,685.95