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Louisiana rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,041.74 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $22,908.68 / $40,738.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,148.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $16,982.44 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $12,882.50 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,202.26