# CPT 54401: Insj Penile Prosthesos Inflatable Self-contained

Medicare CPT 54401 pays $617.58 in a non-facility setting and $617.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $563.39 in Arkansas to $783.14 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/54401-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $617.58 |
| National facility | $617.58 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $783.14 | $783.14 |
| District of Columbia | $682.51 | $682.51 |
| New York | $676.46 | $676.46 |
| New Jersey | $668.17 | $668.17 |
| Florida | $659.78 | $659.78 |
| California | $652.59 | $652.59 |
| Washington | $651.80 | $651.80 |
| Connecticut | $651.57 | $651.57 |
| Illinois | $650.74 | $650.74 |
| Massachusetts | $649.30 | $649.30 |
| Maryland | $635.33 | $635.33 |
| Hawaii | $631.19 | $631.19 |
| Colorado | $627.04 | $627.04 |
| Rhode Island | $627.03 | $627.03 |
| New Hampshire | $621.70 | $621.70 |
| Michigan | $621.16 | $621.16 |
| Oregon | $620.71 | $620.71 |
| Puerto Rico | $619.50 | $619.50 |
| Virgin Islands | $619.50 | $619.50 |
| Pennsylvania | $618.87 | $618.87 |
| Montana | $617.50 | $617.50 |
| Georgia | $615.93 | $615.93 |
| Texas | $612.72 | $612.72 |
| Delaware | $612.06 | $612.06 |
| Nevada | $610.51 | $610.51 |
| New Mexico | $606.97 | $606.97 |
| Wyoming | $606.21 | $606.21 |
| West Virginia | $605.81 | $605.81 |
| Arizona | $604.03 | $604.03 |
| Virginia | $600.74 | $600.74 |
| Louisiana | $599.30 | $599.30 |
| Utah | $599.09 | $599.09 |
| Missouri | $597.65 | $597.65 |
| Ohio | $597.59 | $597.59 |
| Vermont | $593.63 | $593.63 |
| Minnesota | $593.56 | $593.56 |
| South Carolina | $593.25 | $593.25 |
| North Dakota | $591.59 | $591.59 |
| Maine | $590.84 | $590.84 |
| South Dakota | $588.53 | $588.53 |
| Kentucky | $587.91 | $587.91 |
| North Carolina | $586.12 | $586.12 |
| Oklahoma | $582.81 | $582.81 |
| Indiana | $578.02 | $578.02 |
| Wisconsin | $577.48 | $577.48 |
| Tennessee | $576.05 | $576.05 |
| Idaho | $575.82 | $575.82 |
| Mississippi | $573.66 | $573.66 |
| Kansas | $573.43 | $573.43 |
| Nebraska | $572.36 | $572.36 |
| Iowa | $571.32 | $571.32 |
| Alabama | $569.37 | $569.37 |
| Arkansas | $563.39 | $563.39 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 54401 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules