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Louisiana 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
$762.00 / $1,850.00 / $3,945.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,163.79 / $22,915.43 / $40,816.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,969.54 / $20,969.54 / $20,969.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $13,327.00 / $40,032.00