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Alaska rates for HCPCS 54405

Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.48 / $4,522.72 / $6,467.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.48 / $4,522.72 / $6,467.49