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Kentucky 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
$26.68 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.15 / $41.63 / $53.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,389.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.47 / $73.39 / $84.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $73.39 / $117.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.38 / $61.38 / $61.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $51.10 / $232.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $31.39 / $44.01