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Adjusting an Implanted Urinary Balloon

New Jersey rates for HCPCS 53454

A follow-up adjustment of the small fluid-filled balloons that sit beside the urethra to control urinary leakage. Fluid is added or taken out through a needle passed through the skin, fine-tuning how much support the balloons give without reopening the original surgical site. The setting can be changed more than once as needs change.

Facilitymedian $5,495 · 10th–90th $2,692$10,9650%20%10th90th$5,495Professionalmedian $31 · 10th–90th $19$1910%20%10th90th$31$10.0$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,888.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$32.36
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$151.36
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$107.15
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,230.27
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$24.55
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,630.27
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$37.15
Typical High
$66.07