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Maryland rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.60 / $769.53 / $3,486.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.25 / $742.15 / $881.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,134.33 / $18,134.33 / $18,134.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.26 / $903.88 / $2,092.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.80 / $921.42 / $1,466.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.84 / $810.77 / $1,324.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.10 / $796.72 / $989.16