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Massachusetts rates for HCPCS 53454

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

Facilitymedian $2,188 · 10th–90th $36$3,8020%10%10th90th$2,188Professionalmedian $58 · 10th–90th $23$1480%10%10th90th$58$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $190.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,023.29 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $91.20 / $257.04
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $93.33
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $67.61 / $144.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,023.29 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,698.24 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $147.91