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Temporary Prostate Implant For Urine Flow

South Dakota 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 $631 · 10th–90th $76$1,4130%10%10th90th$631$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$575.44
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$1,348.96
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,412.54
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,000.00
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$229.09
Typical High
$1,949.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$1,445.44