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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
$741.31 / $4,265.80 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,862.09 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,862.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $31,622.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $8,128.31 / $20,417.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,819.70