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New Jersey rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.68 / $6,064.00 / $11,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.48 / $681.46 / $1,120.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.16 / $1,010.00 / $2,098.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.92 / $1,047.03 / $1,238.32
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,282.16 / $48,936.56 / $86,853.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.98 / $706.50 / $1,298.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,512.00 / $10,536.00 / $29,493.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.14 / $722.09 / $1,506.58