go back

New Jersey 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
$3,311.31 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $32.36 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $154.88 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.61 / $107.15
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,230.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.92 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $33.11 / $56.23