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Adjusting an Implanted Urinary Balloon

Rhode Island 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 $1,514 · 10th–90th $525$3,9810%20%10th90th$1,514Professionalmedian $38 · 10th–90th $23$1910%10%20%10th90th$38$0.0$0.2$2.0$20.0$200.0$2.0K

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
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$44.67
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$30.90
Typical High
$67.61