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Nebraska 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
$4,382.00 / $9,608.62 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,366.51 / $31,667.62 / $59,448.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.60 / $1,414.23 / $29,797.02
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,288.33 / $9,288.33 / $9,288.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.00 / $1,906.01 / $32,825.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,617.00 / $25,056.59 / $29,797.02