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Arizona rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $851.14 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $10,715.19 / $17,782.79