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Virginia rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $4,898 · 10th–90th $776–$15,1360%5%10%10th90th$4,898Professionalmedian $776 · 10th–90th $631–$1,6980%20%10th90th$776$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
$776.25 / $5,128.61 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $776.25 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $14,791.08 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $851.14 / $1,202.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $4,168.69 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $851.14 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $724.44 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $933.25 / $1,412.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $21,877.62
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $19,952.62 / $45,708.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,348.96