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Massachusetts rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $10,471.29 / $52,480.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $20,417.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $10,715.19 / $52,480.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $33,113.11