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Indiana rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.17 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,650.00 / $7,944.00 / $40,869.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.66 / $537.33 / $607.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,622.90 / $14,622.90 / $14,622.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,307.00 / $20,461.00