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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
$1,965.00 / $3,819.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,101.34 / $20,101.34 / $20,101.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.20 / $779.64 / $15,169.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,702.00 / $10,420.00 / $16,841.00