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Repair of a Traumatic Penile Injury

Vermont rates for HCPCS 54437

This surgery repairs a tear in the erectile tissue of the penis caused by trauma, most often a penile fracture injury. Prompt surgical repair helps restore normal structure and function and reduces the risk of long-term complications.

Rates data updated October 2026.

How much does Repair of a Traumatic Penile Injury cost?

$1,072

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $851 to $1,349.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $468 to $3,802Professionalmedian $1,047 · 10th to 90th $661 to $1,514
$200$500$1K$2Kfacility $1,698professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,659.59

Where Vermont sits

The same service costs 6.5 times more in Oklahoma than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 20th of 51

$1,072

OK $3,162UT $490

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.