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New York 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
$1,018.61 / $4,051.00 / $10,475.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,294.00 / $24,288.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.65 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.84 / $918.84 / $5,246.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$89.92 / $89.92 / $89.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,363.43 / $2,203.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.18 / $20,660.00 / $33,751.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $918.84 / $5,246.94
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$89.92 / $89.92 / $89.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,037.00 / $10,314.00 / $53,358.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.70 / $1,075.70 / $2,683.13