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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.44 / $959.39 / $1,119.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.00 / $3,960.00 / $3,960.00