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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
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,366.51 / $31,667.62 / $59,448.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.48 / $966.81 / $19,233.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.81 / $1,248.75 / $20,731.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00