go back

Michigan 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
$1,071.52 / $4,897.79 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,202.26 / $1,202.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,073.80 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,182.57 / $41,686.94