go back

New York rates for HCPCS 54416

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.32 / $4,260.00 / $9,868.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,294.00 / $24,288.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.10 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.41 / $815.41 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,124.00 / $1,846.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $815.41 / $5,246.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $7,864.00 / $39,701.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.28 / $958.28 / $2,351.85