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Maryland 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
$8,828.69 / $15,241.08 / $15,241.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,218.16 / $18,218.16 / $18,218.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.31 / $1,108.30 / $1,770.81