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Washington, DC rates for HCPCS 54416

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

Facilitymedian $5,012 · 10th–90th $832–$7,7620%10%20%10th90th$5,012Professionalmedian $724 · 10th–90th $676–$1,6220%10%20%10th90th$724$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$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
$831.76 / $4,073.80 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $724.44 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $42,657.95 / $102,329.30