go back

Louisiana rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $18,197.01 / $41,686.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $10,232.93 / $25,703.96