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Tennessee rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,471.29 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,318.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $97,723.72 / $97,723.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $14,125.38 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,380.38