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Tennessee rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $7,943.28 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $72,443.60 / $72,443.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,964.78 / $25,703.96