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Temporary Prostate Implant For Urine Flow

Iowa rates for HCPCS 53855

Places a temporary device inside the prostate to widen the channel urine passes through when an enlarged prostate is obstructing flow. It is inserted along the urinary channel using a scope, so there is no external incision. The device is intended to be taken out later rather than left in place for good.

Professionalmedian $617 · 10th–90th $81$1,5850%10%10th90th$617$5.0$20.0$100.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$616.60
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$1,202.26
Typical High
$1,862.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$912.01
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,288.25
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,348.96
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$1,995.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$1,659.59
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$676.08
Typical High
$1,819.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$1,412.54