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North Carolina rates for HCPCS 54416

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

Facilitymedian $1,738 · 10th–90th $741$18,6210%10%10th90th$1,738$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,737.80 / $8,709.64
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $954.99 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $26,302.68 / $46,773.51
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $100,000.00 / $100,000.00