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Delaware rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.02 / $596.02 / $681.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.13 / $811.89 / $1,173.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,905.30 / $75,905.30 / $75,905.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $3,500.00 / $3,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.27 / $775.52 / $1,500.69