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Washington, DC 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
$1,017.00 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $33.82 / $33.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.00 / $823.00 / $45,104.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.92 / $52.19 / $65.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.97 / $87.08 / $87.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $49.69 / $148.83