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New Mexico rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.91 / $679.75 / $1,108.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.67 / $2,703.05 / $3,210.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.16 / $998.60 / $1,226.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,033.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.18 / $845.32 / $1,000.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.60 / $998.60 / $1,226.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,834.00 / $25,932.00 / $25,932.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.00 / $1,043.90 / $1,506.53