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Ohio 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
$79.14 / $2,989.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.77 / $53.22 / $53.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $50.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.92 / $60.11 / $72.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $60.39 / $168.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $60.39 / $165.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $979.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $30.70 / $67.12