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Wisconsin rates for HCPCS 54410

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

Facilitymedian $17,378 · 10th–90th $4,169–$29,5120%10%10th90th$17,378Professionalmedian $1,995 · 10th–90th $1,023–$2,7540%20%10th90th$1,995$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
$933.25 / $1,778.28 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,620.87 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,168.69 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $13,182.57 / $23,442.29
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $14,454.40 / $40,738.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,995.26 / $2,754.23
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $95,499.26 / $95,499.26
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $77,624.71
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $9,549.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $20,892.96 / $33,884.42