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Minnesota rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $38,904.51 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,089.30 / $3,162.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $4,570.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $25,703.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $14,125.38 / $52,480.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $2,511.89