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Virginia rates for HCPCS 54400

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

Facilitymedian $4,786 · 10th–90th $617$15,1360%5%10%10th90th$4,786Professionalmedian $631 · 10th–90th $468$1,2300%10%10th90th$631$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $5,128.61 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $14,791.08 / $15,135.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $1,479.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $891.25 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $724.44 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $16,982.44 / $31,622.78