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Wisconsin rates for HCPCS 54415

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

Facilitymedian $8,128 · 10th–90th $3,548–$12,5890%10%10th90th$8,128Professionalmedian $1,230 · 10th–90th $631–$1,6980%20%10th90th$1,230$500.0$1.0K$2.0K$5.0K$10.0K

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
$575.44 / $1,096.48 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,621.81 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,570.40 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $7,244.36 / $12,302.69
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,230.27 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,332.54 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $12,022.64