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Washington rates for HCPCS 54415

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

Facilitymedian $3,162 · 10th–90th $871–$18,6210%5%10%10th90th$3,162$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $7,943.28 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $9,332.54 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $3,890.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,258.93 / $9,549.93
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $1,047.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $9,549.93 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $11,220.18 / $19,952.62