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North Dakota rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.86 / $662.86 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.88 / $662.86 / $662.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.02 / $1,409.89 / $1,690.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.92 / $1,592.09 / $2,055.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.86 / $948.63 / $1,988.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.98 / $1,238.56 / $1,721.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,717.00 / $29,717.00 / $29,717.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.98 / $1,319.20 / $1,721.86