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Nebraska rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $30,199.52 / $58,884.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,122.02 / $21,877.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,230.27 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $10,964.78 / $17,378.01