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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
$616.60 / $5,011.87 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $14,791.08 / $15,135.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,479.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,148.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $707.95 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $16,982.44 / $40,738.03