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Pennsylvania rates for HCPCS 54400

Insj Penile Prosthesis Non-Inflatable Semi-Rigid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,689.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,977.86 / $25,977.86 / $32,223.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.55 / $3,839.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.46 / $517.46 / $837.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $7,000.00 / $11,238.00