go back

North Carolina rates for HCPCS 54405

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

Facilitymedian $6,761 · 10th–90th $794–$19,0550%5%10%10th90th$6,761$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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $7,943.28 / $19,054.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,122.02 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $26,302.68 / $46,773.51
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $102,329.30 / $102,329.30
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93