go back

Oregon rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,230.27 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $1,778.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,258.93 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $66,069.34 / $79,432.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $35,481.34 / $89,125.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $1,819.70