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Illinois 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
$912.01 / $2,884.03 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $26,915.35 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,918.31 / $7,413.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $4,897.79
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
$3,981.07 / $14,125.38 / $38,018.94