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Minnesota 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
$724.44 / $724.44 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $38,904.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,884.03 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$138.04 / $138.04 / $138.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,137.96 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $14,125.38 / $52,480.75