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California rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,695.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $10,099.00 / $23,679.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $12,156.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,784.10 / $16,290.30 / $38,378.53
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.22 / $657.30 / $985.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.08 / $694.23 / $1,241.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.60 / $26,542.00 / $71,752.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.13 / $749.35 / $1,217.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $16,906.00 / $46,941.00