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Virginia rates for HCPCS 54400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.04 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $13,820.00 / $14,999.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.22 / $609.86 / $752.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.65 / $738.30 / $1,082.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.77 / $719.46 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,531.00 / $20,974.00 / $40,876.00