go back

Massachusetts rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.57 / $29.17 / $189.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $51.62 / $409.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.72 / $67.59 / $106.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.28 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $67.12 / $99.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.03 / $121.72 / $152.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $51.62 / $409.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $43.64 / $100.45