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Artificial Urinary Sphincter Implant

Wisconsin 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 $17,378 · 10th–90th $3,467$28,8400%10%10th90th$17,378Professionalmedian $1,738 · 10th–90th $891$3,1620%20%10th90th$1,738$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
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,548.82
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$3,630.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,630.27
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$13,182.57
Typical High
$23,442.29
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$14,454.40
Typical High
$40,738.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$3,162.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$97,723.72
Typical High
$97,723.72
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$9,772.37
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$20,892.96
Typical High
$33,884.42