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Wisconsin rates for HCPCS 54400

Insj Penile Prosthesis Non-Inflatable Semi-Rigid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.33 / $1,096.24 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,123.00 / $17,403.00 / $23,778.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.61 / $1,612.19 / $2,600.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.94 / $729.50 / $1,318.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.33 / $7,775.00 / $19,754.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.94 / $729.50 / $1,318.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.90 / $1,611.94 / $1,898.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,752.60 / $71,752.60 / $71,752.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,452.00 / $14,566.00 / $19,562.00