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West Virginia rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.52 / $662.52 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.92 / $681.46 / $769.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.60 / $778.03 / $847.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.49 / $753.49 / $753.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.10 / $754.10 / $754.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.38 / $941.87 / $4,024.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,013.00 / $13,013.00 / $13,013.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.33 / $730.20 / $1,170.33