go back

Tennessee 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
$452.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $26.27 / $33.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $1,500.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $26.79 / $46.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.14 / $43.78 / $82.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $741.35 / $741.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.00 / $409.44 / $467.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $33.06 / $52.15