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Massachusetts rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $2,089.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $10,232.93 / $52,480.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,023.29 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $2,344.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,348.96 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $724.44 / $1,071.52
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,762.47 / $17,782.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,202.26 / $1,949.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $11,748.98 / $52,480.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,943.28 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $2,290.87