| Code | Description | States | Median rate |
|---|---|---|---|
| 55110 | Exploration of the scrotum | 47 | $303.20 |
| 55120 | Removal of a foreign body from the scrotum | 48 | $270.73 |
| 55150 | Partial removal of the scrotum | 48 | $385.21 |
| 55175 | Scrotum reconstruction, simple | 47 | $299.86 |
| 55180 | Scrotum reconstruction, complicated | 47 | $556.02 |
| 55250 | Vasectomy | 48 | $287.60 |
| 55400 | Vasectomy reversal | 20 | $412.70 |
| 55500 | Removal of a spermatic cord fluid sac (hydrocele) | 48 | $307.58 |
| 55535 | Varicocele repair, abdominal approach | 48 | $351.25 |
| 55540 | Varicocele repair with hernia repair | 48 | $424.91 |
| 55559 | Unlisted laparoscopic spermatic cord procedure | 12 | $2,565.07 |
| 55650 | Seminal vesicle removal | 46 | $585.93 |
| 55700 | Prostate biopsy, needle | 12 | $207.09 |
| 55705 | Open prostate biopsy | 48 | $225.13 |
| 55706 | Prostate saturation biopsy through the perineum, template | 45 | $294.27 |
| 55720 | Prostate abscess drainage, open, simple | 47 | $357.11 |
| 55725 | Prostate abscess drainage, open, complicated | 47 | $479.32 |
| 55810 | Radical prostate removal through the perineum, no nodes | 46 | $1,063.90 |
| 55840 | Radical prostate removal through the abdomen, no nodes | 46 | $1,015.58 |
| 55845 | Radical abdominal prostate removal with pelvic nodes | 46 | $1,241.46 |
| 55866 | Laparoscopic radical prostate removal | 46 | $1,059.96 |
| 55867 | Laparoscopic simple prostate removal (non-cancer) | 43 | $801.58 |
| 55870 | Electroejaculation | 17 | $138.68 |
| 55873 | Prostate freezing (cryoablation) with ultrasound | 46 | $3,738.34 |
| 55874 | Spacer gel placed between prostate and rectum | 42 | $2,830.98 |
| 55875 | Needle placement in the prostate for radiation seeds | 48 | $606.04 |
| 55880 | Prostate cancer HIFU ablation through the rectum | 37 | $796.09 |
| 55899 | Unlisted male genital procedure | 11 | $189.74 |
| 55920 | Needle placement in pelvic organs for radiation | 45 | $345.19 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.