go back

New York rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.48 / $4,409.00 / $10,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,294.00 / $24,288.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.60 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.78 / $605.78 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $900.47 / $1,542.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,481.27 / $3,481.27 / $3,481.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $605.78 / $5,246.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $7,719.00 / $17,688.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.09 / $711.09 / $1,808.81