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New York rates for HCPCS 54400

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

Facilitymedian $5,888 · 10th–90th $1,000$14,7910%5%10th90th$5,888$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$741.31 / $4,265.80 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $11,481.54 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $4,786.30 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $954.99 / $1,862.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $7,762.47 / $18,197.01
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $707.95 / $1,819.70