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Adjusting an Implanted Urinary Balloon

Minnesota 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 $380 · 10th–90th $56$1,5850%10%10th90th$380Professionalmedian $52 · 10th–90th $22$1950%5%10%10th90th$52$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$251.19
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$407.38
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$93.33
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$47.86
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,819.70
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$89.13