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Indiana 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
$31.77 / $2,318.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.77 / $33.83 / $43.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,320.00 / $9,270.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $10.43 / $40.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.20 / $69.09 / $47,249.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $61.42 / $49,612.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.16 / $175.16 / $175.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $61.65 / $248.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $26.78 / $43.56