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Illinois rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,884.03 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $16,982.44 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,918.31 / $7,413.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $2,344.23
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
$3,311.31 / $9,772.37 / $25,703.96