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Nebraska rates for HCPCS 54415

Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis

Facilitymedian $7,244 · 10th–90th $1,175–$13,4900%10%10th90th$7,244Professionalmedian $1,230 · 10th–90th $1,175–$1,6220%20%40%10th90th$1,230$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
$4,265.80 / $7,585.78 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $7,244.36 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,148.15 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,230.27 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,370.32 / $7,585.78