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Artificial Urinary Sphincter Implant

New Mexico 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 $7,762 · 10th–90th $1,072$79,4330%10%10th90th$7,762$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$1,071.52
Median
$1,122.02
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$57,543.99
Typical High
$91,201.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$25,703.96
Typical High
$91,201.08