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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
$3,090.30 / $7,585.78 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,481.54 / $19,498.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,168.69 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $16,218.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,148.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $72,443.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $17,782.79 / $43,651.58