go back

Virginia rates for HCPCS 54416

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

Facilitymedian $4,786 · 10th–90th $813–$15,1360%5%10%10th90th$4,786Professionalmedian $851 · 10th–90th $631–$1,6600%10%20%10th90th$851$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $5,128.61 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $14,791.08 / $15,135.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $1,995.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $1,659.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $1,479.11
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $954.99 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $19,952.62 / $45,708.82