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Nebraska rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.38 / $612.38 / $3,486.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,366.51 / $31,667.62 / $59,448.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.78 / $1,017.26 / $1,356.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.64 / $1,545.50 / $2,007.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.26 / $1,163.52 / $29,797.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.22 / $1,535.10 / $12,100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.57 / $1,545.50 / $32,674.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.00 / $1,467.25 / $2,007.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,142.59 / $1,669.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,617.00 / $11,459.00 / $26,782.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.71 / $1,467.66 / $1,784.66