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New Mexico 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
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $22.89 / $27.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $36.93 / $234.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $86.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.48 / $189.48 / $189.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $56.61 / $234.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $35.20 / $50.55