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Nationwide rates for HCPCS 54416

Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session

Facilitymedian $6,457 · 10th–90th $1,230$23,9880%5%10%10th90th$6,457Professionalmedian $1,072 · 10th–90th $676$2,2910%10%10th90th$1,072$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$1,047.13 / $4,365.16 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $11,481.54 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,630.27 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $14,454.40 / $38,904.51