go back

Alaska rates for HCPCS 54400

Insertion of penile prosthesis; non-inflatable (semi-rigid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $10,964.78 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $4,265.80