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Implanted Inflatable Penile Prosthesis

Nebraska 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 $8,511 · 10th–90th $4,074$41,6870%10%10th90th$8,511Professionalmedian $1,905 · 10th–90th $1,778$2,4550%50%10th90th$1,905$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$41,686.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$30,199.52
Typical High
$58,884.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,778.28
Typical High
$33,884.42
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,905.46
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$23,442.29
Typical High
$31,622.78