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Pennsylvania rates for HCPCS 53445

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

Facilitymedian $3,311 · 10th–90th $933–$8,5110%5%10%10th90th$3,311$500.0$2.0K$10.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,311.31 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $48,977.88 / $91,201.08
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,995.26 / $7,244.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,288.25 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $12,302.69 / $66,069.34