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Artificial Urinary Sphincter Implant

Kansas 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.

Facilitymedian $4,074 · 10th–90th $1,349$18,6210%5%10th90th$4,074$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,630.78
Typical High
$9,120.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$19,498.45
Typical High
$19,498.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,884.03
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$12,302.69
Typical High
$22,908.68