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Hawaii 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
$988.00 / $2,898.00 / $3,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.89 / $22.89 / $23.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.17 / $64.48 / $82.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $31.54 / $37.29