go back

Ohio rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.33 / $5,355.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.59 / $681.46 / $1,799.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $8,566.00 / $60,320.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.20 / $781.10 / $1,314.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.10 / $754.92 / $934.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.28 / $692.01 / $692.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.71 / $915.85 / $1,334.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.88 / $936.10 / $1,289.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $626.49 / $906.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,895.00 / $13,279.00 / $21,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.85 / $821.98 / $1,369.95