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New Mexico 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
$1,488.17 / $7,465.82 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.67 / $2,703.05 / $3,210.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.17 / $1,031.13 / $1,247.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,834.00 / $25,932.00 / $39,729.36