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Georgia 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
$2,290.87 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,238.72 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.88 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $75.86 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $1,513.56 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $33.11 / $117.49