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Arizona rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $689.73 / $3,486.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.95 / $623.94 / $779.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,681.55 / $31,681.55 / $31,681.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.28 / $806.92 / $1,439.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.07 / $970.12 / $21,486.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.20 / $760.94 / $12,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,477.00 / $14,356.00 / $24,727.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.38 / $718.22 / $1,291.99