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Implanted Inflatable Penile Prosthesis

Michigan 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 $4,898 · 10th–90th $1,072$12,5890%10%20%10th90th$4,898$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,071.52
Median
$4,897.79
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$4,073.80
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$18,620.87
Typical High
$42,657.95