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Virginia rates for HCPCS 54406

Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis

Facilitymedian $4,365 · 10th–90th $832–$9,5500%5%10%10th90th$4,365Professionalmedian $871 · 10th–90th $646–$1,6980%10%10th90th$871$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $4,897.79 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $776.25 / $1,995.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,174.90 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,513.56
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $977.24 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,317.64 / $17,378.01