go back

Virginia rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $5,128.61 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $14,791.08 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,202.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,412.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $891.25 / $21,877.62
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $20,417.38 / $64,565.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $1,348.96