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Kansas 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
$1,700.00 / $4,376.00 / $12,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,573.00 / $6,573.00 / $6,573.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.49 / $1,562.84 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,081.00 / $7,792.00 / $32,352.00