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Noninflatable Penile Prosthesis

Wisconsin rates for HCPCS C2622

Prosthesis, penile, noninflatable

Rates data updated July 2026.

Facilitymedian $3,802 · 10th–90th $3,802$5,7540%50%90th$3,802Professionalmedian $3,802 · 10th–90th $3,802$3,8020%50%$3,802$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$6,760.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$2,691.53