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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
$1,715.00 / $5,192.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.78 / $33.83 / $189.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.72 / $141.57 / $348.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $87.22 / $107.64
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.18 / $591.29 / $1,200.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.12 / $24.50 / $51.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $37.94 / $53.57