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Implanted Inflatable Penile Prosthesis

Montana 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 $1,380 · 10th–90th $1,349$60,2560%20%40%10th90th$1,380$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$42,657.95