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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
$794.33 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $39,810.72 / $81,283.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $13,803.84 / $22,387.21