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Oklahoma rates for HCPCS 54401

Insj Penile Prosthesos Inflatable Self-Contained

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.60 / $833.45 / $833.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,543.64 / $41,219.11 / $64,447.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.20 / $853.20 / $871.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.94 / $897.40 / $1,034.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.38 / $1,500.00 / $24,973.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.48 / $847.88 / $12,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,245.00 / $16,704.00 / $24,973.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.53 / $752.42 / $1,078.78