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Arkansas rates for HCPCS 53454

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

Facilitymedian $794 · 10th–90th $257–$2,0420%10%10th90th$794Professionalmedian $28 · 10th–90th $20–$560%10%10th90th$28$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $66.07 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $407.38 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $64.57