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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
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $31,622.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $23,988.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $14,791.08 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,288.25