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West 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
$588.84 / $588.84 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $426.58 / $676.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $229.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,148.15