go back

Illinois 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
$630.96 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $34.67 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $363.08 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $75.86 / $120.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $724.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $70.79 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $691.83 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $56.23