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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
$1,778.28 / $4,265.80 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,235.94 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,786.30 / $18,197.01