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Repair Of An Artificial Urinary Sphincter

Virginia rates for HCPCS 53449

Surgery to fix a malfunctioning artificial urinary sphincter — the implanted cuff, pump and fluid reservoir used to control leakage of urine. The faulty part is exposed, repaired, and tested so the device seals and releases properly again. The whole system is not exchanged in this procedure.

Facilitymedian $2,570 · 10th–90th $692$9,7720%5%10th90th$2,570Professionalmedian $741 · 10th–90th $550$1,4130%10%20%10th90th$741$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,630.27
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,698.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,412.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,258.93
Sentara
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,511.38
Typical High
$17,378.01