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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
$593.50 / $593.50 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.06 / $559.00 / $701.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.87 / $189.87 / $231.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.96 / $205.96 / $205.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.04 / $435.04 / $435.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.20 / $257.02 / $1,049.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.16 / $827.13 / $1,664.33