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Connecticut 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
$3,235.94 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.84 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $177.83 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $114.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $81.28