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Oklahoma rates for HCPCS 53454

Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume

Facilitymedian $1,622 · 10th–90th $191–$6,6070%10%10th90th$1,622Professionalmedian $27 · 10th–90th $22–$540%20%40%10th90th$27$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $75.86 / $144.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $457.09 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $575.44 / $1,548.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.12 / $37.15