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Ohio rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $4,044.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,782.00 / $8,483.00 / $60,320.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.07 / $604.88 / $748.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,873.00 / $11,553.00 / $21,466.00