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Vermont rates for HCPCS 53454

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.18 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.88 / $91.20