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North Carolina 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
$21.07 / $3,707.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $21.07 / $33.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.96 / $46.76 / $68.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.81 / $54.25 / $135.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $37.86 / $50.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $50.43 / $50.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $31.37 / $71.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $212.76 / $741.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.44 / $467.10 / $467.10