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Missouri rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,610.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.91 / $762.14 / $814.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $21,783.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.25 / $795.37 / $1,360.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.00 / $7,469.00 / $11,141.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.16 / $943.95 / $1,708.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.00 / $1,402.52 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.98 / $1,211.66 / $12,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,367.00 / $5,163.00 / $15,151.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.10 / $893.79 / $2,038.82