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Ohio rates for HCPCS 54416

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

Facilitymedian $6,607 · 10th–90th $1,349–$12,0230%5%10%10th90th$6,607$100.0$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
$1,148.15 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $8,511.38 / $60,255.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $724.44 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $16,595.87 / $23,988.33