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Illinois rates for HCPCS 54400

Insj Penile Prosthesis Non-Inflatable Semi-Rigid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.37 / $2,157.00 / $7,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,034.39 / $13,841.88 / $22,076.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,951.00 / $7,469.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.54 / $900.37 / $2,310.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $8,141.00 / $21,651.00