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Missouri 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
$1,400.00 / $4,919.00 / $15,772.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $21,783.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,436.00 / $7,469.00 / $11,141.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.31 / $1,704.23 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.72 / $9,288.33 / $9,288.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,349.00 / $33,319.00