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Adjusting an Implanted Urinary Balloon

Maryland rates for HCPCS 53454

A follow-up adjustment of the small fluid-filled balloons that sit beside the urethra to control urinary leakage. Fluid is added or taken out through a needle passed through the skin, fine-tuning how much support the balloons give without reopening the original surgical site. The setting can be changed more than once as needs change.

Facilitymedian $129 · 10th–90th $129$1380%50%100%90th$129Professionalmedian $28 · 10th–90th $19$910%10%20%10th90th$28$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$190.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$52.48
Typical High
$109.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$60.26