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North Carolina rates for HCPCS 54410

Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session

Facilitymedian $3,236 · 10th–90th $955–$17,7830%10%10th90th$3,236$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $4,168.69 / $8,317.64
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $26,302.68 / $46,773.51
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $97,723.72 / $97,723.72
Wellcare
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$79,432.82 / $79,432.82 / $79,432.82
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37