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New York rates for HCPCS 54405

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

Facilitymedian $5,888 · 10th–90th $1,148–$16,9820%10%10th90th$5,888$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$1,047.13 / $4,265.80 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $11,481.54 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $4,786.30 / $53,703.18
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
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,412.54 / $2,818.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $26,302.68 / $58,884.37
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,244.36 / $32,359.37
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,071.52 / $2,691.53