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Rhode Island rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $891.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,511.38 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,445.44