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Wisconsin rates for HCPCS 54405

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

Facilitymedian $17,378 · 10th–90th $4,169–$29,5120%10%10th90th$17,378Professionalmedian $1,862 · 10th–90th $955–$2,5700%10%20%10th90th$1,862$500.0$2.0K$10.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,659.59 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,620.87 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,454.71 / $3,890.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $4,265.80 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $13,182.57 / $23,442.29
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $14,454.40 / $40,738.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,862.09 / $2,570.40
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $97,723.72 / $97,723.72
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $9,772.37
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $20,892.96 / $33,884.42