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Florida 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
$539.00 / $3,714.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $20.23 / $38.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.47 / $130.54 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $24.50 / $88.67
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,403.00 / $4,309.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.69 / $53.90 / $56.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.54 / $100.54 / $100.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $1,911.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $27.18 / $50.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82