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South Carolina rates for HCPCS 53454

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

Facilitymedian $4,898 · 10th–90th $37–$9,7720%10%10th90th$4,898Professionalmedian $28 · 10th–90th $21–$500%20%10th90th$28$20.0$100.0$500.0$2.0K$10.0K

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
$3,801.89 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $213.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $40.74 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,122.02 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $58.88