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North Dakota rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $537.03 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $12,022.64 / $12,022.64