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Noninflatable Penile Prosthesis

New Jersey rates for HCPCS C2622

Prosthesis, penile, noninflatable

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $3,802 to $4,677Professionalmedian $4,677 · 10th to 90th $3,802 to $4,677
$5Kfacility $3,802professional $4,677

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
$4,677.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$758.58
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$562.34
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$380.19
Median
$467.74
Typical High
$467.74