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Illinois rates for HCPCS 54435

Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism

Facilitymedian $3,715 · 10th–90th $776–$8,9130%5%10th90th$3,715Professionalmedian $501 · 10th–90th $389–$1,0000%10%20%10th90th$501$50.0$200.0$1.0K$5.0K$20.0K

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
$776.25 / $3,548.13 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,128.61 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $575.44 / $831.76
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $676.08 / $1,862.09
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,365.16 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $891.25