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Exchange of an Inflatable Penile Implant

Washington, DC rates for HCPCS 54410

Removes every part of an implanted inflatable penile device — the cylinders in the penis, the pump in the scrotum, and the fluid reservoir — and puts a complete new device in during the same operation. It is done when the existing implant has failed mechanically, leaked, or become poorly positioned. Tissue is not infected in this version, so the new device goes straight into the prepared space.

Facilitymedian $5,012 · 10th–90th $977$7,7620%10%20%10th90th$5,012Professionalmedian $851 · 10th–90th $813$1,9500%20%40%10th90th$851$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
$977.24
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$42,657.95
Typical High
$102,329.30