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Alabama 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
$485.00 / $960.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $40.75 / $40.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.90 / $613.92 / $825.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $35.03 / $201.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $24.26 / $37.77