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Texas rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $27,542.29 / $52,480.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $72,443.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $933.25 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $10,964.78 / $39,810.72