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Temporary Prostate Implant For Urine Flow

Pennsylvania 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 $550 · 10th–90th $76$1,0230%10%20%10th90th$550$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
$75.86
Median
$524.81
Typical High
$954.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$251.19
Typical High
$1,148.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,122.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$776.25
Typical High
$1,174.90
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$588.84
Typical High
$954.99
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,659.59
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$114.82
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$501.19
Typical High
$1,096.48