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North Dakota 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
$20.97 / $20.97 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.97 / $20.97 / $32.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.24 / $103.54 / $182.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $35.65 / $81.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $41.29 / $56.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $47.44 / $56.90