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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $22.26 / $53.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.84 / $45.84 / $45.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $28.11 / $50.66