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California rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,695.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.48 / $689.73 / $3,486.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $10,099.00 / $23,679.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.86 / $1,043.51 / $2,003.38
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $12,334.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.67 / $696.36 / $1,700.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,725.00 / $25,675.00 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.29 / $860.35 / $2,618.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.86 / $851.25 / $24,111.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $881.24 / $1,578.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.44 / $26,542.00 / $97,541.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,100.00 / $12,100.00 / $12,100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.11 / $921.80 / $1,498.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.51 / $868.19 / $1,893.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.19 / $2,163.19 / $2,163.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.02 / $859.40 / $859.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,108.00 / $20,553.00 / $51,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.44 / $766.60 / $2,176.92