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Massachusetts rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $3,311 · 10th–90th $661$7,7620%10%20%10th90th$3,311Professionalmedian $794 · 10th–90th $603$2,0420%20%10th90th$794$100.0$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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $758.58 / $1,819.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $11,748.98 / $52,480.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,023.29 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $1,023.29 / $2,344.23
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $776.25 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $691.83 / $1,023.29
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $17,782.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,122.02 / $1,949.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $11,748.98 / $52,480.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,023.29 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,762.47 / $37,153.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,096.48 / $2,511.89