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Tennessee rates for HCPCS 54401

Insj Penile Prosthesos Inflatable Self-Contained

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.00 / $822.76 / $959.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.00 / $9,265.00 / $16,534.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.85 / $827.89 / $1,356.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.26 / $912.16 / $1,454.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.44 / $26,542.00 / $97,541.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,100.00 / $12,100.00 / $12,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,031.00 / $15,342.00 / $27,607.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.46 / $938.88 / $1,553.10