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Maine rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,479.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,348.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,479.11