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Kentucky rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.01 / $794.78 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.01 / $655.02 / $794.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,964.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.10 / $700.52 / $1,008.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.20 / $860.86 / $993.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.05 / $860.86 / $1,229.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.21 / $754.10 / $754.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.74 / $918.02 / $1,406.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.00 / $8,525.00 / $25,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.42 / $872.56 / $1,275.04