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Washington rates for HCPCS 54416

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

Facilitymedian $6,457 · 10th–90th $1,122–$45,7090%5%10%10th90th$6,457$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
$1,348.96 / $7,943.28 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $53,703.18 / $109,647.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $23,988.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,698.24 / $54,954.09
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,380.38 / $1,412.54
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $56,234.13 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $64,565.42 / $117,489.76