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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
$5,754.40 / $7,943.28 / $41,686.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $30,199.52 / $58,884.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,737.80 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,905.46 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $17,782.79 / $27,542.29