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Minnesota rates for HCPCS 53454

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $32.36 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $218.78 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $147.91 / $251.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $208.93 / $407.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $128.82 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $93.33 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $47.86 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $52.48 / $87.10