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Implanted Inflatable Penile Prosthesis

Illinois rates for HCPCS 54405

Implants a device that lets a man produce an erection on demand. The full set is placed in one operation: inflatable cylinders inside the penis, a fluid reservoir in the abdomen, and a small pump placed in the scrotum that moves fluid between them. It is used for erectile dysfunction that has not responded to medicines or other treatments.

Facilitymedian $3,236 · 10th–90th $1,023$12,8820%5%10th90th$3,236Professionalmedian $1,318 · 10th–90th $832$4,8980%10%10th90th$1,318$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
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,884.03
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$26,915.35
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,918.31
Typical High
$7,413.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$4,897.79
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$15,848.93
Typical High
$41,686.94