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Illinois rates for HCPCS 54405

Insj Multi-Component Inflatable Penile Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.83 / $2,352.00 / $8,317.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,158.68 / $21,008.48 / $34,201.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $6,951.00 / $7,469.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.53 / $1,365.68 / $4,826.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.00 / $11,186.00 / $43,794.00