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Indiana rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.59 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.95 / $651.59 / $868.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,650.00 / $7,944.00 / $41,616.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.12 / $818.91 / $1,162.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.88 / $673.80 / $762.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,047.02 / $23,047.02 / $23,047.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.41 / $842.70 / $1,473.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,327.00 / $16,025.00 / $25,270.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.29 / $763.82 / $1,316.20