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Alaska rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $4,570.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,630.78 / $5,248.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $630.96 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,778.28 / $5,248.07