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Wisconsin rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $17,378 · 10th–90th $4,365$28,8400%20%10th90th$17,378Professionalmedian $955 · 10th–90th $646$2,6920%20%10th90th$955$50.0$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
$724.44 / $6,456.54 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,620.87 / $30,902.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,288.25 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,137.96 / $2,398.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $4,168.69 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,659.59 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $13,489.63 / $23,442.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,148.15 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $575.44
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $14,454.40 / $40,738.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,698.24 / $2,187.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,548.82 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $97,723.72 / $97,723.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $3,235.94 / $12,022.64
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,235.94 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $20,892.96 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,122.02 / $2,884.03