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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $36.31 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $44.67 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $89.13 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $31.62 / $69.18