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Adjusting an Implanted Urinary Balloon

Maine 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.

Professionalmedian $50 · 10th–90th $23$1230%5%10%10th90th$50$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.84
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$28.18
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$109.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$64.57
Typical High
$123.03