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Minnesota rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.58 / $32.58 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $32.58 / $49.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $529.61 / $999.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.71 / $206.64 / $497.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $149.60 / $252.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.45 / $188.92 / $391.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.66 / $125.86 / $234.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.78 / $97.29 / $1,438.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $59.70 / $114.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $59.70 / $87.74