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Missouri rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $4,898 · 10th–90th $1,950–$13,4900%5%10%10th90th$4,898Professionalmedian $776 · 10th–90th $603–$1,6980%10%20%10th90th$776$200.0$1.0K$5.0K$20.0K$100.0K

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 / $4,265.80 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $776.25 / $1,737.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,897.79 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $794.33 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $7,413.10 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $870.96 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,951.21 / $32,359.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,897.79 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $812.83 / $1,479.11