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Wyoming rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.87 / $665.87 / $665.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.00 / $1,454.00 / $2,123.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.26 / $1,126.68 / $1,530.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,732.00 / $12,732.00 / $31,027.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.15 / $1,322.01 / $2,572.67