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North Carolina rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.60 / $1,338.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.60 / $645.60 / $1,159.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.16 / $1,327.19 / $1,664.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.46 / $1,081.16 / $1,743.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.60 / $888.83 / $1,705.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.83 / $888.83 / $1,630.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,149.70 / $1,669.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,533.00 / $24,671.00 / $40,521.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.77 / $892.12 / $1,853.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.44 / $26,542.00 / $97,541.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,100.00 / $12,100.00 / $12,100.00