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Kansas rates for HCPCS 53454

Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume

Facilitymedian $3,162 · 10th–90th $83–$7,9430%5%10th90th$3,162Professionalmedian $28 · 10th–90th $20–$540%10%20%10th90th$28$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,630.78 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $42.66 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $165.96 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $407.38 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $47.86