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Massachusetts 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
$1,778.28 / $3,311.31 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $10,232.93 / $52,480.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,762.47 / $17,782.79
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $56,234.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $11,748.98 / $52,480.75
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,943.28 / $37,153.52