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Missouri rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,610.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $21,783.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.00 / $7,469.00 / $11,141.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.26 / $1,123.72 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,926.00 / $5,270.00 / $32,031.00