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Maine 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
$26.96 / $26.96 / $52.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.99 / $72.16 / $90.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $93.61 / $93.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.17 / $71.06 / $109.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $26.96 / $52.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $34.11 / $70.14