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West Virginia 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
$20.34 / $20.34 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $24.08 / $53.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.15 / $60.15 / $73.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.22 / $65.22 / $65.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.38 / $61.38 / $61.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $60.16 / $232.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $28.33 / $56.97