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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
$1,758.00 / $2,733.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.61 / $6,474.00 / $33,352.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.52 / $1,129.74 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.60 / $7,292.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00