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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $49.67 / $49.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.03 / $103.13 / $168.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.90 / $608.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.60 / $309.04 / $1,640.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $51.99 / $333.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $210.43 / $269.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $93.44 / $103.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,607.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.09 / $43.07 / $68.69