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Adjusting an Implanted Urinary Balloon

Illinois rates for HCPCS 53454

A follow-up adjustment of the small fluid-filled balloons that sit beside the urethra to control urinary leakage. Fluid is added or taken out through a needle passed through the skin, fine-tuning how much support the balloons give without reopening the original surgical site. The setting can be changed more than once as needs change.

Facilitymedian $1,862 · 10th–90th $380$5,8880%5%10th90th$1,862Professionalmedian $35 · 10th–90th $22$1910%10%10th90th$35$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,344.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.88
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$724.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$676.08
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$58.88