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Florida rates for HCPCS 54416

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

Facilitymedian $6,026 · 10th–90th $1,000$16,2180%5%10%10th90th$6,026$500.0$2.0K$10.0K$50.0K

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
$933.25 / $4,570.88 / $10,471.29
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $4,897.79 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $16,595.87 / $19,952.62
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $13,489.63 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $19,054.61 / $42,657.95