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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
$1,202.00 / $3,460.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $22.64 / $37.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.49 / $2,152.57 / $4,143.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $21.70 / $68.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.10 / $165.10 / $165.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $74.63 / $150.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.13 / $69.06 / $900.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.05 / $35.34 / $110.73