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Kentucky rates for HCPCS 54405

Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

Facilitymedian $3,388 · 10th–90th $1,349–$8,5110%5%10%10th90th$3,388$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$758.58 / $1,412.54 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $9,549.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $16,982.44 / $26,302.68