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Noninflatable Penile Prosthesis

Louisiana rates for HCPCS C2622

Prosthesis, penile, noninflatable

Rates data updated October 2026.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $3,802 · 10th to 90th $3,802 to $3,802
$0.1$1$10$100$1Kfacility $0professional $3,802

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03