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Artificial Urinary Sphincter Implant

Hawaii rates for HCPCS 53445

Implants an inflatable artificial sphincter to stop urine leakage. Three connected parts go in during the one operation: a cuff that wraps around the urine tube and squeezes it closed, a fluid reservoir, and a small pump the person presses when they want to urinate. It is used for incontinence that has not settled with other treatment.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $871$2,8840%50%10th$2,884Professionalmedian $832 · 10th–90th $759$1,0470%50%10th90th$832$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,884.03
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80