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Indiana 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
$792.24 / $3,000.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,774.00 / $7,944.00 / $41,809.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.35 / $813.64 / $920.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,153.57 / $23,153.57 / $23,153.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,376.00 / $15,721.00 / $25,270.00