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Oklahoma rates for HCPCS 54400

Insj Penile Prosthesis Non-Inflatable Semi-Rigid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,779.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,064.35 / $41,196.28 / $65,115.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.91 / $1,375.00 / $20,812.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,190.00