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Iowa rates for HCPCS 54400

Insertion of penile prosthesis; non-inflatable (semi-rigid)

Facilitymedian $4,898 · 10th–90th $871–$24,5470%5%10%10th90th$4,898Professionalmedian $1,230 · 10th–90th $537–$1,8620%10%20%10th90th$1,230$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $954.99 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $10,471.29 / $35,481.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,288.25 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $16,595.87 / $34,673.69