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Maryland rates for HCPCS 53454

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.15 / $24.08 / $33.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.00 / $1,093.00 / $1,093.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.82 / $137.82 / $137.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $51.92 / $102.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.11 / $75.73 / $90.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $29.74 / $56.90