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West Virginia rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $851 · 10th–90th $661$1,6980%20%40%10th90th$851Professionalmedian $724 · 10th–90th $603$1,1750%20%10th90th$724$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
$660.69 / $660.69 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $691.83 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $851.14
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $933.25 / $4,168.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109,647.82 / $109,647.82 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $57,543.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $724.44 / $1,148.15