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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
$748.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,774.55 / $26,360.94 / $51,488.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.07 / $476.07 / $476.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,662.42 / $15,662.42 / $15,662.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $71,752.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.00 / $700.71 / $1,386.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.00 / $707.44 / $1,397.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $9,027.00 / $39,732.00