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Texas rates for HCPCS 54400

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

Facilitymedian $4,266 · 10th–90th $813–$33,1130%5%10th90th$4,266$500.0$2.0K$10.0K$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
$870.96 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $27,542.29 / $52,480.75
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $72,443.60
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $933.25 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $10,964.78 / $24,547.09