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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $28.49 / $48.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.49 / $48.17 / $68.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $48.57 / $48.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $89.27 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $608.94 / $748.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.66 / $82.35 / $82.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $33.49 / $49.27