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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

Facilitymedian $6,026 · 10th–90th $1,122–$18,1970%10%10th90th$6,026$1.0K$5.0K$20.0K$100.0K$500.0K

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
$1,000.00 / $4,265.80 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $11,481.54 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $4,786.30 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,122.02 / $2,511.89
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,244.36 / $32,359.37
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $954.99 / $2,187.76