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Florida rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.00 / $4,983.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.08 / $583.40 / $808.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $17,141.46 / $20,406.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.91 / $880.73 / $1,390.81
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.30 / $491.04 / $863.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.05 / $628.04 / $864.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,194.00 / $21,325.00 / $45,656.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $797.69 / $1,321.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.55 / $556.55 / $556.55