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Massachusetts rates for HCPCS 54405

Insj Multi-Component Inflatable Penile Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.44 / $7,292.00 / $33,352.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.72 / $207.72 / $9,288.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.13 / $1,701.44 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,907.56 / $4,749.47 / $55,595.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.00 / $7,950.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.72 / $207.72 / $9,288.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.00 / $7,950.00 / $58,239.63