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Arkansas 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
$27.19 / $1,181.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $27.19 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $39.47 / $180.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $23.79 / $64.05