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Noninflatable Penile Prosthesis

Hawaii rates for HCPCS C2622

Prosthesis, penile, noninflatable

Rates data updated July 2026.

Professionalmedian $4,677 · 10th–90th $3,802$7,5860%20%10th90th$4,677$2.0K$5.0K

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
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,677.35
HMSA
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$7,585.78
Typical High
$7,585.78