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Virginia rates for HCPCS 54411

Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue

Facilitymedian $3,236 · 10th–90th $1,023–$11,4820%10%10th90th$3,236Professionalmedian $1,202 · 10th–90th $891–$2,3990%10%20%10th90th$1,202$200.0$1.0K$5.0K$20.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $14,791.08 / $15,135.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,071.52 / $2,818.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,548.82 / $2,398.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,445.44 / $2,137.96
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,318.26 / $4,466.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $1,096.48 / $15,135.61