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Alaska rates for HCPCS 53454

Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,473.04 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $96.61 / $96.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $96.61 / $135.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $156.60 / $216.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.40 / $96.61 / $135.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.98 / $105.60 / $145.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.94 / $86.91 / $133.35