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New York rates for HCPCS 53445

Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff

Facilitymedian $5,623 · 10th–90th $1,148–$14,7910%10%10th90th$5,623$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,090.30 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $11,481.54 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,801.89 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,445.44 / $2,691.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $26,302.68 / $28,183.83
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,244.36 / $27,542.29
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $977.24 / $2,884.03