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Arizona rates for HCPCS 54405

Insj Multi-Component Inflatable Penile Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,828.01 / $31,828.01 / $31,828.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.17 / $1,178.58 / $21,486.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.72 / $9,288.33 / $9,288.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.00 / $13,962.00 / $24,205.00